Fate of the Retained Ureteral Stump After Upper Pole Heminephrectomy in Duplex Kidneys

Abstract

No AccessJournal of UrologyPEDIATRIC UROLOGY: Classic Article in Pediatric Urology1 Aug 2002Fate of the Retained Ureteral Stump After Upper Pole Heminephrectomy in Duplex Kidneys Diane De Caluwé, Boris Chertin, and Prem Puri Diane De CaluwéDiane De Caluwé More articles by this author , Boris ChertinBoris Chertin More articles by this author , and Prem PuriPrem Puri More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64722-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We review the long-term outcome of retained ureteral stumps in children undergoing heminephrectomy for nonfunctioning upper pole moieties in duplex kidneys. Materials and Methods: The medical records of 50 patients who underwent 50 upper pole heminephrectomies for a nonfunctioning upper pole moiety of a duplex kidney between January 1990 and December 2000 were reviewed retrospectively. Results: Median patient age at heminephrectomy was 2.5 years (range 3 weeks to 16.5 years) and median followup was 6 years (range 1 to 11). Indications for heminephrectomy in the 50 renal units were obstructive ureterocele in 25 (50%) cases, ectopic ureter in 15 (30%), obstructive megaloureter in 5 (10%) and reflux nephropathy in 5 (10%). A total of 48 (96%) of the corresponding ureters were taken down as low as possible and transfixed through the heminephrectomy incision. Residual stump excision was required in 5 (10%) of the 50 units for recurrent urinary tract infection due to vesicoureteral reflux. Conclusions: Our long-term followup suggests that the majority of patients with residual ureteral stumps after upper pole heminephrectomy do not require stump resection. References 1 : Is there a best alternative to treating the obstructed upper pole?. J Urol1996; 156: 744. Link, Google Scholar 2 : A simplified technique of upper pole heminephrectomy for duplex kidney. J Urol2000; 164: 1326. Abstract, Google Scholar 3 : Ectopic ureter with complete ureteric duplication in the female child. J Pediatr Surg1992; 27: 1455. Google Scholar 4 : Suggested terminology for duplex systems, ectopic ureters and ureteroceles. J Urol1984; 132: 1153. Link, Google Scholar 5 : Ureteral duplication, ectopy, and ureteroceles. In: Pediatric Urology. Edited by . Philadelphia: W. B. Saunders Co.2001: 430. chapt. 28. Google Scholar 6 : Management of ectopic ureters: experience with the upper tract approach. J Urol1997; 158: 1245. 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Link, Google Scholar From the Children’s Research Centre, Our Lady’s Hospital for Sick Children, Dublin, Ireland© 2002 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.Wallis M, Khoury A, Lorenzo A, Pippi-Salle J, Bägli D and Farhat W (2018) Outcome Analysis of Retroperitoneal Laparoscopic Heminephrectomy in ChildrenJournal of Urology, VOL. 175, NO. 6, (2277-2282), 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.GRAN C, KROPP B, CHENG E and KROPP K (2018) PRIMARY LOWER URINARY TRACT RECONSTRUCTION FOR NONFUNCTIONING RENAL MOIETIES ASSOCIATED WITH OBSTRUCTING URETEROCELESJournal of Urology, VOL. 173, NO. 1, (198-201), Online publication date: 1-Jan-2005.DUBOSQ F, DOUBLET J, TRAXER O, HAAB F and AMARENCO G (2018) Incontinence From Ectopic Ureter: Retroperitoneal Laparoscopic Urovascular Exclusion of Upper PoleJournal of Urology, VOL. 171, NO. 2, (800-801), Online publication date: 1-Feb-2004. Volume 168Issue 2August 2002Page: 679-680 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsurinary tract infectionsnephrectomyvesico-ureteral refluxureterMetricsAuthor Information Diane De Caluwé More articles by this author Boris Chertin More articles by this author Prem Puri More articles by this author Expand All Advertisement PDF downloadLoading ...