Evaluation and outcome of the distal ureteral stump after nephro-ureterectomy in children. A comparison between laparoscopy and retroperitoneoscopy

Journal of Pediatric Urology
Maria EscolinoCiro Esposito

Abstract

In children with a poorly functioning kidney due to vesicoureteral reflux (VUR) or ureteropelvic junction obstruction, management is by nephrectomy with total or proximal ureterectomy. The complete removal of all the ureter minimizes the risk of future morbidity associated with the distal ureteral stump (DUS), including febrile urinary tract infections (UTIs), lower quadrant pain and hematuria, the so-called ureteral stump syndrome. To assess the outcome of the DUS after nephroureterectomy, we analyzed our recent experience of nephrectomy performed via retroperitoneoscopy and via laparoscopy. The records of 21 consecutive patients (median age 3.5 years, range 1-10 years) who underwent nephroureterectomy via laparoscopy or via retroperitoneoscopy were retrospectively reviewed for symptoms caused by DUS and their management. Nephrectomy was undertaken for a poorly functioning dysplastic (4), scarred from VUR (10) or hydronephrotic (7) kidney. In the laparoscopic group (11 pts), 6 cases required nephrectomy for reflux while 5 patients were operated for hydronephrotic or dysplastic non-functioning kidney. In the retroperitoneoscopic group (10 pts), nephrectomy was performed for reflux in 4 cases versus 6 patients affected by hydron...Continue Reading

References

Jan 1, 1978·Scandinavian Journal of Urology and Nephrology·T Krarup, H Wolf
Dec 1, 1994·British Journal of Urology·R PersadP D Mouriquand
Aug 27, 1998·The Journal of Urology·A El-GhoneimiY Aigrain
Nov 25, 2003·International Journal of Urology : Official Journal of the Japanese Urological Association·Daisuke IkedaShoji Hirano
Mar 9, 2010·TheScientificWorldJournal·Apostolos P LabanarisReinhard Kühn
Apr 21, 2010·Actas urologicas españolas·S Alonso Y GregorioJ J de la Peña
Feb 28, 2015·BMJ Case Reports·Sohrab AroraMohammad S Ansari

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Citations

Apr 14, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Bruno Nicolino CezarinoFrancisco Tibor Dénes
Apr 14, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·José Murillo Bastos

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