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Management of Ectopic Ureters: Experience With the Upper Tract Approach

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(01)64442-2

1527-3792

J. Chadwick Plaire, John C. Pope, Bradley P. Kropp, Mark C. Adams, Michael A. Keating, Richard C. Rink, Anthony J. Casale,

Ureteral procedures and complications

No AccessJournal of UrologyHydronephrosis/Duplex Ureter1 Sep 1997Management of Ectopic Ureters: Experience With the Upper Tract Approach J. Chadwick Plaire, John C. Pope, Bradley P. Kropp, Mark C. Adams, Michael A. Keating, Richard C. Rink, and Anthony J. Casale J. Chadwick PlaireJ. Chadwick Plaire , John C. PopeJohn C. Pope , Bradley P. KroppBradley P. Kropp , Mark C. AdamsMark C. Adams , Michael A. KeatingMichael A. Keating , Richard C. RinkRichard C. Rink , and Anthony J. CasaleAnthony J. Casale View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64442-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The necessity of removing the ureteral stump after upper tract surgery for an ectopic ureter has been debated. We reviewed the records of patients initially treated at the kidney level to evaluate indications for later stump removal. Materials and Methods: We reviewed the medical records of 32 patients with 33 ectopic ureters treated at the kidney level during the last 10 years. Results: Ectopic ureters were associated with duplicated collecting systems in 31 cases and with single systems in 2. Upper pole heminephrectomy and partial ureterectomy were performed in 23 units and upper tract reconstruction was done in 8. Both patients with single systems underwent nephrectomy. Four patients (12%) required repeat surgery at the bladder level, including 1 who underwent ureteral reimplantation for persistent ipsilateral lower pole reflux and simultaneous upper pole stump removal. Preoperative voiding cystourethrography revealed reflux into the ectopic ureter in 1 patient with postoperative reflux and infections. The remaining 2 patients required a repeat operation to remove the stump due to recurrent urinary tract infections and newly detected reflux into the stump, respectively. Conclusions: The majority of patients with ectopic ureters can be treated by addressing only the upper urinary tract. No patient who presented with incontinence required ureteral stump removal. Whether noted preoperatively or postoperatively, reflux into the ectopic ureter necessitated ureteral stump removal. Three of the 6 patients (50%) who had reflux to the ipsilateral kidney required lower tract surgery. References 1 : Suggested terminology for duplex systems, ectopic ureters and ureteroceles. Report of the Committee on Terminology, Nomenclature and Classification, Section on Urology, American Academy of Pediatrics.. J. Urol.1984; 132: 1153. Abstract, Google Scholar 2 : Observations on ureteral ectopy in children.. J. Urol.1972; 107: 308. Abstract, Google Scholar 3 : Ureteral ectopia in infants and children.. J. Urol.1981; 126: 219. Abstract, Google Scholar 4 : Refluxing ureteral stump: reservoir of urinary infection.. J. Urol.1964; 91: 493. 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Google Scholar From the Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLee Y, Hah Y, Kim M, Jung H, Lee M, Im Y and Han S (2012) Factors Associated with Complications of the Ureteral Stump After Proximal UreteroureterostomyJournal of Urology, VOL. 188, NO. 5, (1890-1894), Online publication date: 1-Nov-2012.Kropp B (2009) Editorial CommentJournal of Urology, VOL. 181, NO. 4, (1849-1849), Online publication date: 1-Apr-2009.Cisek L (2008) Editorial CommentJournal of Urology, VOL. 181, NO. 2, (829-829), Online publication date: 1-Feb-2009.Piaggio L, Franc-Guimond J, Figueroa T, Barthold J and González R (2018) Comparison of Laparoscopic and Open Partial Nephrectomy for Duplication Anomalies in ChildrenJournal of Urology, VOL. 175, NO. 6, (2269-2273), Online publication date: 1-Jun-2006.GUNDETI M, RANSLEY P, DUFFY P, CUCKOW P and WILCOX D (2018) RENAL OUTCOME FOLLOWING HEMINEPHRECTOMY FOR DUPLEX KIDNEYJournal of Urology, VOL. 173, NO. 5, (1743-1744), Online publication date: 1-May-2005.Borzi P and Yeung C (2018) Selective Approach for Transperitoneal and Extraperitoneal Endoscopic Nephrectomy in ChildrenJournal of Urology, VOL. 171, NO. 2, (814-816), Online publication date: 1-Feb-2004.MERGUERIAN P, BYUN E and CHANG B (2018) Lower Urinary Tract Reconstruction for Duplicated Renal Units With Ureterocele. Is Excision of the Ureterocele With Reconstruction of the Bladder Base Necessary?Journal of Urology, VOL. 170, NO. 4 Part 2, (1510-1513), Online publication date: 1-Oct-2003.De Caluwé D, Chertin B and Puri P (2018) Fate of the Retained Ureteral Stump After Upper Pole Heminephrectomy in Duplex KidneysJournal of Urology, VOL. 168, NO. 2, (679-680), Online publication date: 1-Aug-2002.HAMILTON B, GATTI J, CARTWRIGHT P and SNOW B (2018) COMPARISON OF LAPAROSCOPIC VERSUS OPEN NEPHRECTOMY IN THE PEDIATRIC POPULATIONJournal of Urology, VOL. 163, NO. 3, (937-939), Online publication date: 1-Mar-2000. Volume 158Issue 3September 1997Page: 1245-1247 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information J. Chadwick Plaire More articles by this author John C. Pope More articles by this author Bradley P. Kropp More articles by this author Mark C. Adams More articles by this author Michael A. Keating More articles by this author Richard C. Rink More articles by this author Anthony J. Casale More articles by this author Expand All Advertisement PDF downloadLoading ...