We have located links that may give you full text access.
Factors associated with complications of the ureteral stump after proximal ureteroureterostomy.
Journal of Urology 2012 November
PURPOSE: Ureteroureterostomy is a treatment modality for managing an ectopic ureterocele or ectopic ureter and preserving upper pole kidney function. However, the development of urinary tract infection at the residual ureteral stump is a concern. We analyzed factors affecting the development of urinary tract infection at the residual ureteral stump after proximal ureteroureterostomy.
MATERIALS AND METHODS: Between January 2002 and December 2009 proximal ureteroureterostomy was performed in 80 patients with ectopic ureterocele or ectopic ureter associated with a duplex system. Excluding 6 patients who did not meet the study inclusion criteria, we investigated age at operation, diameter of the upper pole ureter on ultrasonography, differential renal function and the presence of vesicoureteral reflux in 74 patients. Risk factors for residual ureteral stump infection and decreased differential renal function were analyzed.
RESULTS: During a median followup of 5.0 years an additional operation was required in 9 patients (12.2%) due to urinary tract infection at the residual ureteral stump a median of 2.4 years after initial proximal ureteroureterostomy. The preoperative maximal diameter of the upper pole ureter was significantly greater in patients with infection complications. The postoperative maximal diameter of the upper pole ureter was also significantly greater on postoperative ultrasonography performed a median 43.0 days after the operation. Median preoperative and postoperative differential renal function was 47.8% and 47.0%, respectively. No preoperative factors were significantly related to the decrease in differential renal function.
CONCLUSIONS: Proximal ureteroureterostomy is a safe treatment for ectopic ureterocele or ectopic ureter with a low postoperative complication rate. Upper pole ureter diameter was correlated with the development of a urinary tract infection at the residual ureteral stump.
MATERIALS AND METHODS: Between January 2002 and December 2009 proximal ureteroureterostomy was performed in 80 patients with ectopic ureterocele or ectopic ureter associated with a duplex system. Excluding 6 patients who did not meet the study inclusion criteria, we investigated age at operation, diameter of the upper pole ureter on ultrasonography, differential renal function and the presence of vesicoureteral reflux in 74 patients. Risk factors for residual ureteral stump infection and decreased differential renal function were analyzed.
RESULTS: During a median followup of 5.0 years an additional operation was required in 9 patients (12.2%) due to urinary tract infection at the residual ureteral stump a median of 2.4 years after initial proximal ureteroureterostomy. The preoperative maximal diameter of the upper pole ureter was significantly greater in patients with infection complications. The postoperative maximal diameter of the upper pole ureter was also significantly greater on postoperative ultrasonography performed a median 43.0 days after the operation. Median preoperative and postoperative differential renal function was 47.8% and 47.0%, respectively. No preoperative factors were significantly related to the decrease in differential renal function.
CONCLUSIONS: Proximal ureteroureterostomy is a safe treatment for ectopic ureterocele or ectopic ureter with a low postoperative complication rate. Upper pole ureter diameter was correlated with the development of a urinary tract infection at the residual ureteral stump.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app