Ipsilateral ureteroureterostomy: does function of the obstructed moiety matter?

Upper pole nephrectomy has been the traditional surgical management of children with poorly functioning upper pole moieties in duplex renal collecting systems having ureteral ectopia and ureterocele. However, ablative surgery confers a risk of functional loss to the remnant moiety due to vasospasm o...

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Bibliographic Details
Published in:Journal of pediatric urology 2019-02, Vol.15 (1), p.50.e1-50.e6
Main Authors: Kawal, T., Srinivasan, A.K., Talwar, R., Chu, D.I., Long, C., Weiss, D., Van Batavia, J., Kolon, T.F., Shukla, A.R.
Format: Article
Language:English
Subjects:
Child, Preschool
Duplex kindey
Ectopic ureter drop
Female
Humans
Infant
Male
Obstructed moiety function
Postoperative Complications - epidemiology
Retrospective Studies
Ureter - abnormalities
Ureter - surgery
Ureteral Obstruction - etiology
Ureteral Obstruction - physiopathology
Ureteral Obstruction - surgery
Ureterocele - complications
Ureterocele - surgery
Ureterostomy - methods
Ureteroureterostomy
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Summary:Upper pole nephrectomy has been the traditional surgical management of children with poorly functioning upper pole moieties in duplex renal collecting systems having ureteral ectopia and ureterocele. However, ablative surgery confers a risk of functional loss to the remnant moiety due to vasospasm or vascular injury. It was hypothesized that ipsilateral ureteroureterostomy (IUU) is a safe and feasible approach for the management of these patients and that residual function in the obstructed upper pole does not affect surgical outcomes. All patients with duplex systems who underwent IUU between 2010 and 2016 were retrospectively reviewed. Patients were sorted into two groups based on pre-operative imaging: those having
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2018.08.012