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Related Experiment Videos

Ectopic ureter with complete ureteric duplication: conservative surgical management

A el Ghoneimi1, J Miranda, T Truong

  • 1Department of Pediatric Urology, Hopital d'enfants de la Timone, Marseille, France.

Journal of Pediatric Surgery
|April 1, 1996
PubMed
Summary

Conservative management of ectopic ureters in children with complete ureteric duplication is effective. Procedures like nephroureterectomy and ureterovesical reimplantation successfully treated incontinence and infections.

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Area of Science:

  • Pediatric Urology
  • Surgical Management
  • Congenital Anomalies

Background:

  • Ectopic ureters are a congenital anomaly often associated with complete ureteric duplication.
  • These anomalies can lead to significant morbidity, including urinary incontinence and recurrent urinary tract infections.
  • Management strategies vary, with a need to assess the efficacy of conservative approaches.

Purpose of the Study:

  • To evaluate the outcomes of conservative surgical procedures for ectopic ureters in children.
  • To determine the success rates of different surgical techniques in managing ectopic ureters associated with complete ureteric duplication.
  • To assess the long-term results of managing ectopic ureters in a pediatric population.

Main Methods:

  • Retrospective review of 31 children (28 girls, 3 boys) aged 19 days to 10 years with ectopic ureters and complete ureteric duplication.

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  • Surgical interventions included upper pole nephroureterectomy, ureterovesical reimplantation, and temporary cutaneous ureterostomy.
  • Follow-up ranged from 6 months to 20 years, assessing continence and infection resolution.
  • Main Results:

    • Upper pole nephroureterectomy was performed in 16 patients with nonfunctioning renal segments; ureterovesical reimplantation in 10 with functioning segments.
    • All patients presenting with incontinence achieved continence post-operatively.
    • Ureterovesical reimplantation showed excellent results with no further procedures needed in 12 patients.

    Conclusions:

    • Conservative management of ectopic ureters in duplex systems with functioning renal segments is recommended.
    • Surgical interventions like nephroureterectomy and ureterovesical reimplantation are effective in resolving symptoms.
    • Preserving functioning renal segments in cases of ectopic ureters is a viable and successful strategy.