Y-Ureterokutaneostomie bei angeborenem Hydroureter - eine kausale Therapie?

Jenny, P.; Hp, Schmid; Herzog, Benjamin

doi:10.1055/s-2008-1043256

Cited by 1 publication

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Primary functional obstructed megaureter may be an adynamic juxtavesical segment which tends to improve spontaneously (Scholtmeijer, 1989). Like Keating et al (1989) and Jenny et al (1989), we found that many antenatal and neonatal ureteric dilatations at the level of the vesicoureteric junction improved with time. Similar findings were reported >25 years ago (Olbing and Mellin, 1966).…”

Section: Discussionmentioning

confidence: 61%

Primary Obstructed Megaureter in Neonates. Treatment by Temporary Uretero‐cutaneostomy

Lettgen

Kröpfl

Bonzel

et al. 1993

British Journal of Urology

View full text Add to dashboard Cite

During the last 10 years we have treated 24 newborn and young infants (27 ureters) in whom the diagnosis of primary obstructed megaureter was established by diuresis-enhanced radionuclide renography and/or by antegrade pressure flow studies (Whitaker test). Temporary uretero-cutaneostomy was performed immediately after diagnosis. After 1 year a second modified Whitaker test showed normal passage of the contrast medium into the bladder in 23 ureters. In only 4 ureters did obstruction persist and uretero-cystoneostomy was performed. Ureterocystoneostomy was also performed on 8 ureters without obstruction but with persistent vesicoureteric reflux, ectopic ureter or diverticula. In 11 patients a temporary uretero-cutaneostomy was closed without corrective surgery at the vesicoureteric junction. Temporary uretero-cutaneostomy is a safe and effective therapy in primary obstructed megaureter in newborns. Spontaneous relief of obstruction appears to be possible in primary obstructed megaureter.

show abstract

Section: Discussionmentioning

confidence: 61%