Our Experience of Ureteral Substitution in Pediatric Age Group
Objectives To find appropriate ureteric substitute in the pediatric age group. Methods Retrospective analysis was done from 2003 to 2008 of all patients operated in our hospital who had undergone ureteric replacement. All cases were followed up to find conduit patency, renal function, and any relate...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2010-06, Vol.75 (6), p.1476-1480 |
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| creator | Obaidah, Abu Mane, Shivaji B Dhende, Nitin P Acharya, Himanshu Goel, Nitin Thakur, Ashok A Arlikar, Jamir |
| description | Objectives To find appropriate ureteric substitute in the pediatric age group. Methods Retrospective analysis was done from 2003 to 2008 of all patients operated in our hospital who had undergone ureteric replacement. All cases were followed up to find conduit patency, renal function, and any related complication. Results Ureteric replacement was performed in 5 cases. Age of the patients ranged from 6 months to 9 years. Three cases were of obstructive megaureter; 1 of redo-pyeloplasty and 1 of iatrogenic injury of the ureter. Three patients underwent partial ureteric substitution of the right ureter, and complete replacement of the left ureter with appendix was performed in 1 patient. In 1 case small bowel was used as Monti tube to substitute the ureter. At median follow-up of 23 months (14-66 months) all patients were well except 1 whose kidney function had deteriorated. Conclusions We believe that our small series supports that either appendix or small bowel should be considered as Monti's tube for ureteric replacement when confronting with short ureter in pediatric age group. |
| doi_str_mv | 10.1016/j.urology.2009.07.1327 |
| format | Article |
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Methods Retrospective analysis was done from 2003 to 2008 of all patients operated in our hospital who had undergone ureteric replacement. All cases were followed up to find conduit patency, renal function, and any related complication. Results Ureteric replacement was performed in 5 cases. Age of the patients ranged from 6 months to 9 years. Three cases were of obstructive megaureter; 1 of redo-pyeloplasty and 1 of iatrogenic injury of the ureter. Three patients underwent partial ureteric substitution of the right ureter, and complete replacement of the left ureter with appendix was performed in 1 patient. In 1 case small bowel was used as Monti tube to substitute the ureter. At median follow-up of 23 months (14-66 months) all patients were well except 1 whose kidney function had deteriorated. Conclusions We believe that our small series supports that either appendix or small bowel should be considered as Monti's tube for ureteric replacement when confronting with short ureter in pediatric age group.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2009.07.1327</identifier><identifier>PMID: 19913889</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anastomosis, Surgical - methods ; Appendix - transplantation ; Biological and medical sciences ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Graft Rejection ; Graft Survival ; Humans ; Hydronephrosis - surgery ; Ileum - transplantation ; Infant ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Reconstructive Surgical Procedures - methods ; Recovery of Function ; Retrospective Studies ; Risk Assessment ; Sampling Studies ; Treatment Outcome ; Ureter - injuries ; Ureter - pathology ; Ureter - surgery ; Ureteral Obstruction - diagnosis ; Ureteral Obstruction - surgery ; Urination - physiology ; Urology</subject><ispartof>Urology (Ridgewood, N.J.), 2010-06, Vol.75 (6), p.1476-1480</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright (c) 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-c2861030307bdec2a896057757ef1baa6e5cbac3ee3f09bf3964cc703d2bc72a3</citedby><cites>FETCH-LOGICAL-c452t-c2861030307bdec2a896057757ef1baa6e5cbac3ee3f09bf3964cc703d2bc72a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2009.07.1327$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27926,27927,45997</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22906960$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19913889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obaidah, Abu</creatorcontrib><creatorcontrib>Mane, Shivaji B</creatorcontrib><creatorcontrib>Dhende, Nitin P</creatorcontrib><creatorcontrib>Acharya, Himanshu</creatorcontrib><creatorcontrib>Goel, Nitin</creatorcontrib><creatorcontrib>Thakur, Ashok A</creatorcontrib><creatorcontrib>Arlikar, Jamir</creatorcontrib><title>Our Experience of Ureteral Substitution in Pediatric Age Group</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objectives To find appropriate ureteric substitute in the pediatric age group. Methods Retrospective analysis was done from 2003 to 2008 of all patients operated in our hospital who had undergone ureteric replacement. All cases were followed up to find conduit patency, renal function, and any related complication. Results Ureteric replacement was performed in 5 cases. Age of the patients ranged from 6 months to 9 years. Three cases were of obstructive megaureter; 1 of redo-pyeloplasty and 1 of iatrogenic injury of the ureter. Three patients underwent partial ureteric substitution of the right ureter, and complete replacement of the left ureter with appendix was performed in 1 patient. In 1 case small bowel was used as Monti tube to substitute the ureter. At median follow-up of 23 months (14-66 months) all patients were well except 1 whose kidney function had deteriorated. Conclusions We believe that our small series supports that either appendix or small bowel should be considered as Monti's tube for ureteric replacement when confronting with short ureter in pediatric age group.</description><subject>Anastomosis, Surgical - methods</subject><subject>Appendix - transplantation</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Rejection</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Hydronephrosis - surgery</subject><subject>Ileum - transplantation</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Treatment Outcome</subject><subject>Ureter - injuries</subject><subject>Ureter - pathology</subject><subject>Ureter - surgery</subject><subject>Ureteral Obstruction - diagnosis</subject><subject>Ureteral Obstruction - surgery</subject><subject>Urination - physiology</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFO3DAQQK2Kqiy0v4ByqTgljO2NHV9QEaK0EhKVKGfLcSbI22y8tWPE_n0dNmolLtUc5jBvZuw3hJxRqChQcbGpUvCDf9pXDEBVICvKmXxHVrRmslRK1UdklStQrpmqj8lJjBsAEELID-SYKkV506gVubxPobh52WFwOFosfF88BpwwmKF4SG2c3JQm58fCjcUP7JyZgrPF1RMWt8Gn3UfyvjdDxE9LPiWPX29-Xn8r7-5vv19f3ZV2XbOptKwRFHgO2XZomWmUgFrKWmJPW2ME1rY1liPyHlTbcyXW1krgHWutZIafkvPD3F3wvxPGSW9dtDgMZkSfopacUy5ZozIpDqQNPsaAvd4FtzVhrynoWZ3e6EWdntVpkHpWlxvPlhWp3WL3r21xlYHPC2CiNUMfzGhd_MsxpkDkb2Xuy4HDLOTZYdDRvsrtXEA76c67_7_l8s0IO7jR5a2_cI9x41MYs25NdWQa9MN86PnOObGaUcn_AFVzpG4</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Obaidah, Abu</creator><creator>Mane, Shivaji B</creator><creator>Dhende, Nitin P</creator><creator>Acharya, Himanshu</creator><creator>Goel, Nitin</creator><creator>Thakur, Ashok A</creator><creator>Arlikar, Jamir</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100601</creationdate><title>Our Experience of Ureteral Substitution in Pediatric Age Group</title><author>Obaidah, Abu ; Mane, Shivaji B ; Dhende, Nitin P ; Acharya, Himanshu ; Goel, Nitin ; Thakur, Ashok A ; Arlikar, Jamir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-c2861030307bdec2a896057757ef1baa6e5cbac3ee3f09bf3964cc703d2bc72a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Anastomosis, Surgical - methods</topic><topic>Appendix - transplantation</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Rejection</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Hydronephrosis - surgery</topic><topic>Ileum - transplantation</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Sampling Studies</topic><topic>Treatment Outcome</topic><topic>Ureter - injuries</topic><topic>Ureter - pathology</topic><topic>Ureter - surgery</topic><topic>Ureteral Obstruction - diagnosis</topic><topic>Ureteral Obstruction - surgery</topic><topic>Urination - physiology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Obaidah, Abu</creatorcontrib><creatorcontrib>Mane, Shivaji B</creatorcontrib><creatorcontrib>Dhende, Nitin P</creatorcontrib><creatorcontrib>Acharya, Himanshu</creatorcontrib><creatorcontrib>Goel, Nitin</creatorcontrib><creatorcontrib>Thakur, Ashok A</creatorcontrib><creatorcontrib>Arlikar, Jamir</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Obaidah, Abu</au><au>Mane, Shivaji B</au><au>Dhende, Nitin P</au><au>Acharya, Himanshu</au><au>Goel, Nitin</au><au>Thakur, Ashok A</au><au>Arlikar, Jamir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Our Experience of Ureteral Substitution in Pediatric Age Group</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>75</volume><issue>6</issue><spage>1476</spage><epage>1480</epage><pages>1476-1480</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objectives To find appropriate ureteric substitute in the pediatric age group. Methods Retrospective analysis was done from 2003 to 2008 of all patients operated in our hospital who had undergone ureteric replacement. All cases were followed up to find conduit patency, renal function, and any related complication. Results Ureteric replacement was performed in 5 cases. Age of the patients ranged from 6 months to 9 years. Three cases were of obstructive megaureter; 1 of redo-pyeloplasty and 1 of iatrogenic injury of the ureter. Three patients underwent partial ureteric substitution of the right ureter, and complete replacement of the left ureter with appendix was performed in 1 patient. In 1 case small bowel was used as Monti tube to substitute the ureter. At median follow-up of 23 months (14-66 months) all patients were well except 1 whose kidney function had deteriorated. Conclusions We believe that our small series supports that either appendix or small bowel should be considered as Monti's tube for ureteric replacement when confronting with short ureter in pediatric age group.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19913889</pmid><doi>10.1016/j.urology.2009.07.1327</doi><tpages>5</tpages></addata></record> |
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| subjects | Anastomosis, Surgical - methods Appendix - transplantation Biological and medical sciences Child Child, Preschool Female Follow-Up Studies Graft Rejection Graft Survival Humans Hydronephrosis - surgery Ileum - transplantation Infant Male Medical sciences Nephrology. Urinary tract diseases Reconstructive Surgical Procedures - methods Recovery of Function Retrospective Studies Risk Assessment Sampling Studies Treatment Outcome Ureter - injuries Ureter - pathology Ureter - surgery Ureteral Obstruction - diagnosis Ureteral Obstruction - surgery Urination - physiology Urology |
| title | Our Experience of Ureteral Substitution in Pediatric Age Group |
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