Side-to-side refluxing ureteroneocystotomy for an infant with refluxing and obstructed ectopic ureter associated with duplex system

Authors

  • Eiji Hisamatsu Department of Urology, Aichi Children’s Health and Medical Center https://orcid.org/0000-0002-7887-0001
  • Motofumi Tajima Department of Urology, Aichi Children’s Health and Medical Center
  • Atsunori Muraki Department of Urology, Aichi Children’s Health and Medical Center
  • Kaoru Yoshino Department of Urology, Aichi Children’s Health and Medical Center

DOI:

https://doi.org/10.46831/jpas.v2i2.155

Keywords:

ectopic, infant, obstruction, reflux, ureter

Abstract

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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References

Farrugia MK, Hitchcock R, Radford A, Burki T, Robb A, Murphy F; British Association of Paediatric Urologists. British Association of Paediatric Urologists consensus statement on the management of the primary obstructive megaureter. J Pediatr Urol. 2014;10:26-33.

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.

Chandra M, Maddix H. Urodynamic dysfunction in infants with vesicoureteral reflux. J Pediatr. 2000;136:754-9.

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.

Published

2023-09-14

How to Cite

1.
Hisamatsu E, Tajima M, Muraki A, Yoshino K. Side-to-side refluxing ureteroneocystotomy for an infant with refluxing and obstructed ectopic ureter associated with duplex system. J Pediatr Adolesc Surg [Internet]. 2023Sep.14 [cited 2024Apr.17];2(2). Available from: http://jpedas.org/ojs/index.php/jpedas/article/view/155
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