title: Surgical significance of the duplex kidney with bifid ureter.
abstract: Between 1974 and 1990 in 16 children (5 boys and 11 girls) with a duplex kidney and bifid ureter surgery was indicated. The mean age of the 15 already operated patients was 7 years (0.3-12 years). 14 had uretero-ureteric reflux, 1 had a stenosis of the ureteric bifurcation, and 1 had a lower pole pelvi-ureteric junction obstruction. An interpyelic anastomosis was performed in 14 and a ureteroneocystostomy "en bloc" in 1. The follow-up was 3-10 years with a mean of 5 years. All 15 patients had normal uroradiological findings, and out of the 9 patients with longer follow-up (more than 3 years) 7 had a significantly diminished infection rate.
authors.affiliation: Kinderchirurgische Klinik, Inselspital Bern, Schweiz.
authors.forename: M I
authors.initials: MI
authors.lastname: Busslinger
authors.forename: G
authors.initials: G
authors.lastname: Kaiser
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D009397:Nephrocalcinosis / Q000209:etiology / Q000601:surgery*; D014513:Ureter / Q000002:abnormalities*; D014552:Urinary Tract Infections / Q000209:etiology / Q000601:surgery*