Laparoscopic ligation of ectopic ureter in pediatric patients: a safe surgical option for the management of urinary incontinence due to ectopic ureters

Li, Zack; Psooy, Karen; Morris, Mélanie; Dharamsi, Nafisa; Retrosi, Giuseppe

doi:10.1007/s00383-020-04852-4

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Its clinical manifestations include recurrent urinary tract infections (UTIs), urinary incontinence, and abdominal pain ( 3 ). Children with duplex pelvis and ureter malformation who have the above clinical manifestations usually require surgical intervention ( 4 ). The remedy for duplex pelvis and ureter malformation is no longer single surgical resection, but an individualized remedy primarily based on disease conditions.…”

Section: Introductionmentioning

confidence: 99%

A single-center study of two types of upper kidney preservation surgery for complete duplicated kidney in children

et al. 2022

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ObjectiveThe objectives of this study were to compare the efficacy, advantages, and disadvantages of insertable ureteral reimplantation (UC group) and ureteral end-to-side anastomosis (UU group) in the treatment of duplicated kidney and summarize the clinical experience in its diagnosis and treatment.MethodsThe current retrospective study enrolled 20 cases with duplicated kidney in Anhui Provincial Children's Hospital from April 2016 to June 2021, including 11 in the UC group and 9 in the UU group. There were 8 boys and 12 girls, with 12 on the left side and 8 on the right side. Meanwhile, there were three cases with urinary tract infection and nine with urinary incontinence. The rest of them were found by B ultrasound during physical examination. The median age of these patients was 33.5 months. Later, preoperative and postoperative renal pelvis separation, ureteral dilation, operation time, and drainage tube indwelling time were compared between the two groups.ResultsThere were statistically significant differences in operation time (282 ± 50.55 vs. 176 ± 61.92, P = 0.03), drainage time (9.36 ± 5.00 vs. 5.33 ± 1.22, P = 0.02), and hospital stay (22.18 ± 5.40 vs. 14.78 ± 5.33, P = 0.007) between the two groups. In addition, the degree of hydronephrosis (UC: 1.86 ± 0.93 vs. 1.08 ± 0.77, P = 0.00; UU: 1.8 ± 0.95 vs. 0.89 ± 0.60, P = 0.02) and ureteral dilatation (UC: 1.57 ± 0.30 vs. 0.72 ± 0.22, P = 0.00; UU: 1.47 ± 0.50 vs. 0.88 ± 0.22, P = 0.001) were statistically different between the two groups before and after surgery.ConclusionCompared with the UC method, the UU method has the advantages of less trauma, faster recovery, and fewer complications. Double J tube or ureter stent placement is beneficial for finding and protecting the lower ureter intraoperatively, without increasing the difficulty in operation, which can also prevent anastomosis or ureteral orifice stenosis.

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Section: Introductionmentioning

confidence: 99%

A single-center study of two types of upper kidney preservation surgery for complete duplicated kidney in children

et al. 2022

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“…Duplex collecting systems are present in 80% of ectopic ureter cases and in 80% of duplicated systems, the ureterocele is associated with the upper pole. 8 The presence of a double pelvis and malformation of the ureter with clinical manifestations require surgical intervention. 8 , 9 Urinary incontinence and abdominal pain are the main symptoms of an ectopic ureter.…”

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confidence: 99%

“… 8 The presence of a double pelvis and malformation of the ureter with clinical manifestations require surgical intervention. 8 , 9 Urinary incontinence and abdominal pain are the main symptoms of an ectopic ureter. However, obstructive uropathy may present precociously because of recurring urinary tract infections.…”

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confidence: 99%