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Related Experiment Videos

Is surgery necessary for primary non-refluxing megaureter?

J C Sheu1, P Y Chang, N L Wang

  • 1Department of Pediatric Surgery, Mackay Memorial Hospital, 92, Sec. 2, Chung San N. Road, Taipei, Taiwan, Republic of China.

Pediatric Surgery International
|August 26, 1998
PubMed
Summary
This summary is machine-generated.

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Conservative management for primary non-refluxing megaureter has a high failure rate. Surgical intervention in children with primary non-refluxing megaureter offers a high success rate and preserves renal function.

Area of Science:

  • Pediatric Urology
  • Nephrology

Background:

  • Primary non-refluxing megaureter is a congenital condition affecting the ureter.
  • Management strategies range from conservative observation to surgical intervention.

Purpose of the Study:

  • To evaluate the outcomes of conservative and surgical management for primary non-refluxing megaureter in pediatric patients.
  • To determine the efficacy of early surgical intervention in preventing renal damage.

Main Methods:

  • Retrospective review of 22 pediatric patients with primary non-refluxing megaureter treated between January 1990 and December 1995.
  • Analysis of treatment approaches (conservative vs. surgical) and their respective success rates.
  • Assessment of pathological changes at the ureterovesical junction (UVJ) and postoperative complications.

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Main Results:

  • Conservative management had an 84% failure rate, with only 3 of 19 patients showing spontaneous resolution.
  • Surgical intervention achieved an 89.5% success rate in 19 patients.
  • Adynamic UVJ was observed in 13 cases, fibrotic in 6. Postoperative complications included transient vesicoureteric reflux and UVJ stenosis requiring reoperation.

Conclusions:

  • While not every case requires surgery, it plays a crucial role in managing primary non-refluxing megaureter.
  • Early surgical intervention can lead to favorable outcomes and minimize renal damage.
  • Conservative management should be carefully considered due to its high failure rate.