Non-obstructive megacystis and refuluxing megaureter in pre-teen enuretic boys with minimal symptoms.
We herein describe 4 older boys with non-obstructive, non-neurogenic refluxing megacystis-megaureter syndrome. These patients require immediate investigation and aggressive surgical intervention, the goal being total reconstruction of the bladder and upper tracts in continuity. This goal was achieved in 3 patients with followup in excess of 4 years. Failure to recognize the syndrome, as with our fourth patient, may result in improper classification and treatment. A plea is made for urological investigation of pernicious nocturnal enuresis in older boys and in all children with a history of urinary tract infection.
D002648:Child; D003937:Diagnosis, Differential; D004775:Enuresis / Q000209:etiology*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D008297:Male; D009392:Nephrectomy; D014515:Ureteral Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis; D014552:Urinary Tract Infections / Q000209:etiology; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery