Minimally invasive inguinal technique for the management of duplex ureteric anomaly
Study Type – Therapy (case series) Level of Evidence 4 What’s known on the subject? and What does the study add? Reimplantation of only one involved ureter in the double ureter anomaly is possible. Reimplantation of only one involved ureter in the double ureter anomaly is another viable option in th...
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| Veröffentlicht in: | BJU international 2011-11, Vol.108 (10), p.1660-1663 |
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| creator | Radojicic, Zoran Vukadinovic, Vojkan Smoljanic, Zeljko Pavicevic, Polina Ducic, Sinisa Janic, Nenad Janjic, Aleksandar Perovic, Sava |
| description | Study Type – Therapy (case series)
Level of Evidence 4
What’s known on the subject? and What does the study add?
Reimplantation of only one involved ureter in the double ureter anomaly is possible.
Reimplantation of only one involved ureter in the double ureter anomaly is another viable option in the range of solutions offered for this anomaly.
OBJECTIVE
•
To present outcomes of a minimally invasive inguinal technique for the separation of the distal part of ureters in duplex systems and for the extravesical ureteroneocystostomy of only the pathologically involved ureter.
MATERIALS AND METHODS
•
From November 2001 to February 2007, we performed extravesical reimplantation of only the involved ureter in 21 duplex systems, of which 14 were refluxing (megaureters) and seven had obstruction of the ureterovesical junction.
•
The mean (range) age of the patients was 39 (17–59) months.
•
In seven patients, ureterocutaneostomy (of the involved ureter only) was performed first, with reimplantation 3–6 months later, after the diameter of the ureter had decreased, to ensure safe reimplantation.
•
The mean (range) postoperative follow‐up was 28 (12–47) months.
RESULTS
•
Postoperative voiding cysto‐urethrograms (VCUGs) and magnetic resonance imaging (MRI), showed an absence of vesico‐ureteric reflux (VUR) or obstruction in the ureters of the first 10 patients.
•
In the remaining 11 patients, there was no ultrasound detectable dilatation, but symptomatic urinary tract infection developed in two of these patients. Subsequent VCUG and MRI results showed no obstructions or VURs.
CONCLUSION
•
Our results showed that the minimally invasive inguinal approach to separation of ureters in duplex systems and single ureteroneocystostomy of only the pathologically involved ureter represents a viable treatment option. |
| doi_str_mv | 10.1111/j.1464-410X.2011.10166.x |
| format | Article |
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Level of Evidence 4
What’s known on the subject? and What does the study add?
Reimplantation of only one involved ureter in the double ureter anomaly is possible.
Reimplantation of only one involved ureter in the double ureter anomaly is another viable option in the range of solutions offered for this anomaly.
OBJECTIVE
•
To present outcomes of a minimally invasive inguinal technique for the separation of the distal part of ureters in duplex systems and for the extravesical ureteroneocystostomy of only the pathologically involved ureter.
MATERIALS AND METHODS
•
From November 2001 to February 2007, we performed extravesical reimplantation of only the involved ureter in 21 duplex systems, of which 14 were refluxing (megaureters) and seven had obstruction of the ureterovesical junction.
•
The mean (range) age of the patients was 39 (17–59) months.
•
In seven patients, ureterocutaneostomy (of the involved ureter only) was performed first, with reimplantation 3–6 months later, after the diameter of the ureter had decreased, to ensure safe reimplantation.
•
The mean (range) postoperative follow‐up was 28 (12–47) months.
RESULTS
•
Postoperative voiding cysto‐urethrograms (VCUGs) and magnetic resonance imaging (MRI), showed an absence of vesico‐ureteric reflux (VUR) or obstruction in the ureters of the first 10 patients.
•
In the remaining 11 patients, there was no ultrasound detectable dilatation, but symptomatic urinary tract infection developed in two of these patients. Subsequent VCUG and MRI results showed no obstructions or VURs.
CONCLUSION
•
Our results showed that the minimally invasive inguinal approach to separation of ureters in duplex systems and single ureteroneocystostomy of only the pathologically involved ureter represents a viable treatment option.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/j.1464-410X.2011.10166.x</identifier><identifier>PMID: 21446936</identifier><identifier>CODEN: BJINFO</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Biological and medical sciences ; Child, Preschool ; Female ; Humans ; Infant ; Length of Stay ; Male ; Malformations of the urinary system ; Medical research ; Medical sciences ; Nephrology. Urinary tract diseases ; NMR ; Nuclear magnetic resonance ; Treatment Outcome ; Ureter - abnormalities ; Ureter - surgery ; ureteral obstruction ; ureteric reimplantation ; Ureteroscopy - methods ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; vesico‐ureteral reflus and uketeral duplication</subject><ispartof>BJU international, 2011-11, Vol.108 (10), p.1660-1663</ispartof><rights>2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL</rights><rights>2015 INIST-CNRS</rights><rights>2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4276-2dfb7793e7955a8a9b96b39488846dea107052e4fc375d4d4ccf297c0a5c15443</citedby><cites>FETCH-LOGICAL-c4276-2dfb7793e7955a8a9b96b39488846dea107052e4fc375d4d4ccf297c0a5c15443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-410X.2011.10166.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-410X.2011.10166.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24765069$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21446936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Radojicic, Zoran</creatorcontrib><creatorcontrib>Vukadinovic, Vojkan</creatorcontrib><creatorcontrib>Smoljanic, Zeljko</creatorcontrib><creatorcontrib>Pavicevic, Polina</creatorcontrib><creatorcontrib>Ducic, Sinisa</creatorcontrib><creatorcontrib>Janic, Nenad</creatorcontrib><creatorcontrib>Janjic, Aleksandar</creatorcontrib><creatorcontrib>Perovic, Sava</creatorcontrib><title>Minimally invasive inguinal technique for the management of duplex ureteric anomaly</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>Study Type – Therapy (case series)
Level of Evidence 4
What’s known on the subject? and What does the study add?
Reimplantation of only one involved ureter in the double ureter anomaly is possible.
Reimplantation of only one involved ureter in the double ureter anomaly is another viable option in the range of solutions offered for this anomaly.
OBJECTIVE
•
To present outcomes of a minimally invasive inguinal technique for the separation of the distal part of ureters in duplex systems and for the extravesical ureteroneocystostomy of only the pathologically involved ureter.
MATERIALS AND METHODS
•
From November 2001 to February 2007, we performed extravesical reimplantation of only the involved ureter in 21 duplex systems, of which 14 were refluxing (megaureters) and seven had obstruction of the ureterovesical junction.
•
The mean (range) age of the patients was 39 (17–59) months.
•
In seven patients, ureterocutaneostomy (of the involved ureter only) was performed first, with reimplantation 3–6 months later, after the diameter of the ureter had decreased, to ensure safe reimplantation.
•
The mean (range) postoperative follow‐up was 28 (12–47) months.
RESULTS
•
Postoperative voiding cysto‐urethrograms (VCUGs) and magnetic resonance imaging (MRI), showed an absence of vesico‐ureteric reflux (VUR) or obstruction in the ureters of the first 10 patients.
•
In the remaining 11 patients, there was no ultrasound detectable dilatation, but symptomatic urinary tract infection developed in two of these patients. Subsequent VCUG and MRI results showed no obstructions or VURs.
CONCLUSION
•
Our results showed that the minimally invasive inguinal approach to separation of ureters in duplex systems and single ureteroneocystostomy of only the pathologically involved ureter represents a viable treatment option.</description><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Malformations of the urinary system</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Treatment Outcome</subject><subject>Ureter - abnormalities</subject><subject>Ureter - surgery</subject><subject>ureteral obstruction</subject><subject>ureteric reimplantation</subject><subject>Ureteroscopy - methods</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>vesico‐ureteral reflus and uketeral duplication</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtvGyEURlHVqHk0f6FCqqquPIHhMcOmUhvlqVRZpJayQ5i5k2AxjAszif3vg2M7lbIqG67g3MvHQQhTUtC8TuYF5ZJPOCX3RUkoLSihUhbLD-jg7eLjriZK7qPDlOaE5AMpPqH9knIuFZMH6O63C64z3q-wC08muSfIxcPogvF4APsY3N8RcNtHPDwC7kwwD9BBGHDf4mZceFjiMcIA0VlsQp9HrT6jvdb4BMfb_QhNz8_-nF5Obm4vrk5_3kwsLys5KZt2VlWKQaWEMLVRMyVnTPG6rrlswFBSEVECby2rRMMbbm1bqsoSIywVnLMj9H0zdxH7HDINunPJgvcmQD8mrQglRFJGM_n1HTnvx5i_mDRlgjFBpGSZqjeUjX1KEVq9iNlNXGlK9Nq7nuu1Ur3Wq9fe9at3vcytX7YPjLMOmrfGnegMfNsCJlnj22iCdekfxyuZQ6jM_dhwz87D6r8D6F_X09eSvQCPKp3s</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Radojicic, Zoran</creator><creator>Vukadinovic, Vojkan</creator><creator>Smoljanic, Zeljko</creator><creator>Pavicevic, Polina</creator><creator>Ducic, Sinisa</creator><creator>Janic, Nenad</creator><creator>Janjic, Aleksandar</creator><creator>Perovic, Sava</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</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>7QP</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Minimally invasive inguinal technique for the management of duplex ureteric anomaly</title><author>Radojicic, Zoran ; Vukadinovic, Vojkan ; Smoljanic, Zeljko ; Pavicevic, Polina ; Ducic, Sinisa ; Janic, Nenad ; Janjic, Aleksandar ; Perovic, Sava</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4276-2dfb7793e7955a8a9b96b39488846dea107052e4fc375d4d4ccf297c0a5c15443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Malformations of the urinary system</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Treatment Outcome</topic><topic>Ureter - abnormalities</topic><topic>Ureter - surgery</topic><topic>ureteral obstruction</topic><topic>ureteric reimplantation</topic><topic>Ureteroscopy - methods</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>vesico‐ureteral reflus and uketeral duplication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Radojicic, Zoran</creatorcontrib><creatorcontrib>Vukadinovic, Vojkan</creatorcontrib><creatorcontrib>Smoljanic, Zeljko</creatorcontrib><creatorcontrib>Pavicevic, Polina</creatorcontrib><creatorcontrib>Ducic, Sinisa</creatorcontrib><creatorcontrib>Janic, Nenad</creatorcontrib><creatorcontrib>Janjic, Aleksandar</creatorcontrib><creatorcontrib>Perovic, Sava</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>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Radojicic, Zoran</au><au>Vukadinovic, Vojkan</au><au>Smoljanic, Zeljko</au><au>Pavicevic, Polina</au><au>Ducic, Sinisa</au><au>Janic, Nenad</au><au>Janjic, Aleksandar</au><au>Perovic, Sava</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimally invasive inguinal technique for the management of duplex ureteric anomaly</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2011-11</date><risdate>2011</risdate><volume>108</volume><issue>10</issue><spage>1660</spage><epage>1663</epage><pages>1660-1663</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><coden>BJINFO</coden><abstract>Study Type – Therapy (case series)
Level of Evidence 4
What’s known on the subject? and What does the study add?
Reimplantation of only one involved ureter in the double ureter anomaly is possible.
Reimplantation of only one involved ureter in the double ureter anomaly is another viable option in the range of solutions offered for this anomaly.
OBJECTIVE
•
To present outcomes of a minimally invasive inguinal technique for the separation of the distal part of ureters in duplex systems and for the extravesical ureteroneocystostomy of only the pathologically involved ureter.
MATERIALS AND METHODS
•
From November 2001 to February 2007, we performed extravesical reimplantation of only the involved ureter in 21 duplex systems, of which 14 were refluxing (megaureters) and seven had obstruction of the ureterovesical junction.
•
The mean (range) age of the patients was 39 (17–59) months.
•
In seven patients, ureterocutaneostomy (of the involved ureter only) was performed first, with reimplantation 3–6 months later, after the diameter of the ureter had decreased, to ensure safe reimplantation.
•
The mean (range) postoperative follow‐up was 28 (12–47) months.
RESULTS
•
Postoperative voiding cysto‐urethrograms (VCUGs) and magnetic resonance imaging (MRI), showed an absence of vesico‐ureteric reflux (VUR) or obstruction in the ureters of the first 10 patients.
•
In the remaining 11 patients, there was no ultrasound detectable dilatation, but symptomatic urinary tract infection developed in two of these patients. Subsequent VCUG and MRI results showed no obstructions or VURs.
CONCLUSION
•
Our results showed that the minimally invasive inguinal approach to separation of ureters in duplex systems and single ureteroneocystostomy of only the pathologically involved ureter represents a viable treatment option.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21446936</pmid><doi>10.1111/j.1464-410X.2011.10166.x</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Biological and medical sciences Child, Preschool Female Humans Infant Length of Stay Male Malformations of the urinary system Medical research Medical sciences Nephrology. Urinary tract diseases NMR Nuclear magnetic resonance Treatment Outcome Ureter - abnormalities Ureter - surgery ureteral obstruction ureteric reimplantation Ureteroscopy - methods Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland vesico‐ureteral reflus and uketeral duplication |
| title | Minimally invasive inguinal technique for the management of duplex ureteric anomaly |
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