Results of tapered ureteral reimplantation for primary megaureter: extravesical versus intravesical approach

The Journal of Urology
William DeFoorCurtis Sheldon

Abstract

Extravesical ureteroneocystostomy is an accepted technique for the surgical treatment of vesicoureteral reflux. However, many surgeons continue to use an intravesical technique when extensive ureteral tailoring is required in the case of primary megaureter. We present our experience and outcomes with these techniques. A retrospective cohort study was performed of all patients who underwent tapered ureteral reimplantation between 1990 and 2002. Patient demographics, surgical technique and outcomes were recorded. Patients with ureteral dilatation secondary to bladder or urethral pathology were excluded from study. A successful postoperative outcome was defined as improved hydronephrosis and no vesicoureteral reflux. A total of 53 patients with 65 megaureters were identified. Mean patient age at surgery was 4.9 years and mean followup was 3.8 years. Primary obstructive megaureter was present in 31 renal units, while refluxing megaureter was present in 34. An excisional tapering technique was performed in all cases. An extravesical reimplantation was performed in 29 renal units and an intravesical reimplantation in 36. The success rate was 86% for intravesical and 76% for extravesical reimplantation. The success rate was 90% for ob...Continue Reading

References

Nov 1, 1992·The Journal of Urology·B R LeeJ P Gearhart
Aug 1, 1989·The Journal of Urology·M A KeatingJ W Duckett
Aug 1, 1989·The Journal of Urology·C A PetersA B Retik
Apr 1, 1969·The Journal of Urology·W H Hendren
Dec 1, 1994·British Journal of Urology·G A McLorieB M Churchill
Aug 1, 1994·The Journal of Urology·H Y LiuP G Ransley
Jan 1, 1993·European Urology·P MollardC Valignat
May 1, 1996·The Journal of Urology·K A BurbigeJ P Connor
Sep 1, 1996·Journal of Pediatric Surgery·W Perdzyński, Z H Kaliciński
Aug 26, 1998·Pediatric Surgery International·J C SheuF Y Huang
Sep 4, 1999·European Urology·R L Vereecken, W Proesmans
Aug 25, 2000·The Journal of Urology·D BarrierasP A Merguerian
Nov 1, 2000·International Urology and Nephrology·E A OliveiraR F Sansoni
Apr 23, 2002·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·M StehrH-G Dietz

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Citations

Jan 24, 2013·Der Urologe. Ausg. A·P AnheuserR Beetz
Oct 19, 2007·Journal of Endourology·Oriol AngerriHumberto Villavicencio
Aug 21, 2007·Journal of Endourology·Abdol-Mohammad KajbafzadehVahid Najjaran-Tousi
Nov 12, 2013·Journal of Pediatric Urology·Marie-Klaire FarrugiaUNKNOWN British Association of Paediatric Urologists
Aug 13, 2013·Journal of Pediatric Surgery·Kwang Hyun KimSang Won Han
Jan 24, 2012·The Journal of Urology·Matthew S ChristmanPasquale Casale
Jan 10, 2016·Journal of Pediatric Urology·Angela M ArlenAndrew J Kirsch
Sep 8, 2005·The Journal of Urology·Francisco OssandonMichele Torre
Aug 6, 2016·Arab Journal of Urology·Tamer M Abou YoussifMohammed Adel Atta
Dec 9, 2009·Scandinavian Journal of Urology and Nephrology·Reka SomogyiAndrew B Pinter
Dec 10, 2014·Expert Review of Anti-infective Therapy·Muhammad AwaisNaseer Khan

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