The use of lower ipsilateral ureteroureterostomy to treat vesicoureteral reflux or obstruction in children with duplex ureters

J. M. Bockrath, M. Maizels, C. F. Firlit

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

During the last 4 years lower ipsilateral ureteroureterostomy was performed to treat vesicoureteral reflux and/or obstruction in 11 children with 13 completely duplicated systems. There was reflux only to the lower segment in 11 systems, obstruction only to the upper segment in 1 and reflux with obstruction in 1 system. The procedure is technically easier than ureteroneocystotomy, avoids cystotomy and permits a brief postoperative hospitalization. The postoperative excretory urogram demonstrated improved or stable hydronephrosis in all patients. Vesicoureteral reflux persisted in 1 system associated with a golf hole orifice. Caution should be exercised when children with reflux in duplex systems associated with a golf hole ureteral orifice are treated.

Original languageEnglish (US)
Pages (from-to)542-544
Number of pages3
JournalJournal of Urology
Volume129
Issue number3
StatePublished - Jan 1 1983

ASJC Scopus subject areas

  • Urology

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