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Long-term results after megaureter folding in children
1Department of Pediatric Surgery, Postgraduate Centre MMA, Warsaw, Poland.
Journal of Pediatric Surgery
|September 1, 1996
Summary
The folding technique for megaureters yielded excellent results in 93% of cases, significantly improving kidney function and reducing ureteral width. This minimally invasive approach offers a promising solution for managing megaureters and associated renal issues.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Megaureters represent a significant congenital anomaly impacting renal function.
- Surgical intervention is often necessary to prevent long-term renal damage.
Purpose of the Study:
- To evaluate the efficacy of the folding technique in treating megaureters.
- To assess the functional and anatomical outcomes following this surgical approach.
Main Methods:
- A cohort of 56 patients with megaureters underwent surgical correction using the folding technique.
- Postoperative outcomes including ureteral width, renal function, and complications were analyzed.
Main Results:
- The folding technique achieved successful outcomes in 52 out of 56 patients (93%).
- Significant improvements were observed in reduced megaureter width, decreased hydronephrosis, and normalized serum urea and creatinine levels.
- Renal parenchyma thickness and creatinine clearance significantly increased post-surgery.
- Minor complications included stenosis (2) and vesico-ureteral reflux (2).
Conclusions:
- The folding technique is a highly effective surgical option for managing megaureters.
- This method leads to significant functional renal recovery and anatomical improvement with a low complication rate.