Abstract
Ureteroneocystostomy is a standard method for the surgical treatment of primary megaureter. However, a ureter with large diameter needs much longer submucosal tunnel to prevent vesico ureteral reflux following the operatuin. Folding techniques reduce the need for prolonged submucosal tunnel and preserving ureteral vascularity compared with the tailoring method, and the psoas hitch method creates an elongated submucosal tunnel on the stretched bladder wall in reimplantation of the megaureter. This clinical study presents the long-term outcomes of the primary megaureters treated in methods with or without psoas hitch.
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