Side-to-side refluxing ureteroneocystotomy for an infant with refluxing and obstructed ectopic ureter associated with duplex system
DOI:
https://doi.org/10.46831/jpas.v2i2.155Keywords:
ectopic, infant, obstruction, reflux, ureterAbstract
Background: Surgical management of the obstructed ectopic ureter is one of the most difficult problems, particular in neonates and infants. The bladder-level definitive repair has technical limitations during infancy because of the size discrepancy between the ureter and the bladder.
Case Presentation: We report our experience of side-to-side refluxing ureteroneocystotomy (SSRUC) as a temporary procedure for an infant with refluxing and obstructed ectopic ureter associated with a duplex system.
Conclusion: SSRUC relieved obstruction and controlled febrile UTI successfully while waiting for maturation of the bladder required for the bladder-level definitive repair.
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Lee SD, Akbal C, Kaefer M. Refluxing ureteral reimplant as temporary treatment of obstructive megaureter in neonate and infant. J Urol. 2005;173:1357-60.
Alyami FA, Koyle MA, Bowlin PR, Gleason JM, Braga LH, Lorenzo AJ. Side-to-side refluxing nondismembered ureterocystotomy: A novel strategy to address obstructed megaureters in children. J Urol. 2017;198:1159-67.
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Nishimura K, Hisamatsu E, Kuwabara H, Nakagawa Y, Sugita Y. Male infant with a single-system ectopic ureter that required the removal of the ureteral stump after nephrectomy. Int J Urol. 2013;20:640-2.

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Copyright (c) 2023 Eiji Hisamatsu, Motofumi Tajima, Atsunori Muraki, Kaoru Yoshino

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