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Ureteral valves in children
R Rabinowitz1, T E Kingston, C Wesselhoeft
1Department of Urology, University of Rochester School of Medicine, New York 14642-8656, USA.
Insights
Congenital ureteral valves, a rare cause of pediatric ureteral obstruction, were successfully treated in eight children. Surgical reconstruction effectively relieved the obstruction, highlighting the importance of considering these valves in diagnosis.
Area of Science:
- Pediatric Urology
- Congenital Abnormalities
Background:
- Congenital ureteral valves are an uncommon cause of ureteral obstruction in pediatric patients.
- Only 42 cases have been previously documented in medical literature.
Purpose of the Study:
- To report on the diagnosis and management of eight new cases of congenital ureteral valves.
- To emphasize the significance of ureteral valves in the differential diagnosis of pediatric ureteral obstruction.
Main Methods:
- Retrospective review of eight pediatric patients diagnosed with ureteral valves.
- Surgical interventions included ipsilateral ureteroureterostomy, ureteropyelostomy, or longitudinal ureterotomy with valve leaflet excision.
Main Results:
- All eight children experienced successful relief of ureteral obstruction following surgical management.
- Surgical outcomes were uniformly positive, with no recurrence of obstruction reported.
Conclusions:
- Congenital ureteral valves are a treatable cause of ureteral obstruction in children.
- Surgical reconstruction offers a curative solution for this condition.
Objectives:
Congenital ureteral valves are a rare cause of ureteral obstruction in children, with only 42 cases having been reported in peer-reviewed literature. Eight additional cases of ureteral valves are herein reported.
Methods:
We report on the diagnosis and management of eight children with ureteral obstruction secondary to a ureteral valve.
Results:
Eight children with congenital ureteral valves were managed by ipsilateral ureteroureterostomy, ureteropyelostomy, or longitudinal ureterotomy with excision of valve leaflets. The obstruction was relieved in all.
Conclusions:
Ureteral valves should be included in the differential diagnosis of ureteral obstruction in children. Reconstruction is curative.