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Related Experiment Videos

Bilateral congenital midureteral adynamic segments

V R Jayanthi1, B M Churchill, P S Thorner

  • 1Department of Pathology, Hospital for Sick Children, Toronto, Ontario, Canada.

Urology
|March 1, 1995
PubMed
Summary

Congenital midureteral adynamic segments in children can be successfully treated by surgically removing the affected ureter section and rejoining the ends. Precise imaging is crucial for diagnosing this rare functional obstruction.

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Area of Science:

  • Pediatric Urology
  • Surgical Pathology

Background:

  • Congenital ureteral anomalies can lead to significant urinary tract issues in children.
  • Adynamic segments of the ureter represent a rare cause of functional obstruction.

Observation:

  • Two pediatric cases presented with congenital midureteral adynamic segments.
  • Pathologic findings included probe-patent ureters with muscular disarray, indicating functional obstruction.

Findings:

  • Successful management was achieved through surgical excision of the affected ureteral segment and primary reanastomosis.
  • Retrograde urography proved essential for accurate radiographic localization of the ureteral narrowing.

Implications:

  • This approach highlights the importance of precise diagnosis and surgical intervention for congenital ureteral functional obstruction.

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  • Primary ureteroureterostomy is a viable and successful treatment option for this rare condition.