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Ipsilateral ureteroureterostomy for vesicoureteral reflux in duplicated ureters
The Journal of Urology
|November 1, 1977
Insights
Ipsilateral ureteroureterostomy effectively treats recurrent pyelonephritis in duplex systems. This surgical approach offers lower morbidity and fewer complications compared to ureteral reimplantation.
Area of Science:
- Pediatric Urology
- Surgical Innovation
Background:
- Duplex systems often cause reflux to the lower segment, leading to recurrent pyelonephritis.
- Current treatments typically involve reimplanting duplicated ureters, which can be complex.
Abstract:
In most duplex systems reflux only occurs to the lower segment and these patients present with symptoms of recurrent pyelonephritis. We have treated 12 such cases by ipsilateral ureteroureterostomy with good results. Treatment of this condition in most major pediatric urologic centers consists of reimplanting the duplicated ureters but we recommend an ipsilateral ureteroureterostomy because of lower morbidity, relative lack of complications, ease of operation and excellent long-term results.