Robot-assisted ipsilateral ureteroureterostomy in a duplex system utilizing intraoperative flexible ureteroscopy

O'Connor, Ellen; Teh, Jiasian; Lawrentschuk, Nathan

doi:10.1016/j.eucr.2020.101158

Cited by 1 publication

(1 citation statement)

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“…With the continuous development and maturity of ultrasound technology, it not only helpful for diagnosing an obstruction of the urinary tract in pregnancies, but also meaningful for permitting the prenatal anatomical assessment of most congenital anomalies of the kidney and urinary tract during the second or third trimester ( 2 , 3 ). The incidence of duplex kidney malformation is about 0.8% and it is common to women ( 4 , 5 ). Among children diagnosed with hydronephrosis before birth, 5%–7% are due to duplex kidney ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

Treatment for complete bilateral duplex kidneys with severe hydronephrosis and ureterectasis of the upper moiety in a child: A case report and literature review

Ji²,

Zhang³

et al. 2022

Front. Surg.

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AimTo explore the treatment experience of the duplex kidney.MethodA case of the complete bilateral duplex kidney with severe hydronephrosis and ureterectasis in the upper moiety of the kidney diagnosed in the Department of Urology of Kunming Children's Hospital from 2021 to 2022 was retrospectively analyzed and relevant literature was reviewed.ResultsA 2-month-old baby girl was admitted to the hospital because of hydronephrosis of bilateral kidneys found by prenatal ultrasound for 3 months and fever for 3 days. After being given the relevant examinations, the girl was diagnosed with complete bilateral duplex kidneys with severe hydronephrosis and ureterectasis in the upper moiety, and urinary tract infection. The patient's urinary tract infection was poorly controlled after positive anti-infective therapy, so a bilateral ureterostomy was performed. After the surgery, urinary tract infection was soon cured. A bilateral ureteroureterostomy was performed 13 months later, and the patient recovered after 7 days.ConclusionCutaneous ureterostomy combined with late ureteroureterostomy for children with complete bilateral duplex kidneys with severe hydronephrosis in the upper moiety and ureter are not only beneficial to caregivers’ nursing after the operation, but also have significance for salvaging renal function.

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