title: [Diagnosis and treatment of mega-ureters in children].
abstract: In connection with 4 cases of megaureter in children, the diagnosis and the therapy of this condition are described. The term megaureter describes a large wide ureter. It may be associated with reflux or obstruction or be present without reflux and/or obstruction. The diagnosis of obstruction by renography may be difficult because of diminished glomerular filtration rate, either physiological or due to a decreased number of glomeruli, a high compliance of the collecting system, diminished urinary output or a filled bladder. Clear cases of obstruction and/or reflux should be treated operatively. In the asymptomatic child with a primary obstructive megaureter and a good relative function conservative treatment may result in reducing the dilatation without loss of kidney function.
authors.affiliation: Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
authors.forename: J
authors.initials: J
authors.lastname: van den Hoek
authors.forename: T J
authors.initials: TJ
authors.lastname: Haumann
mesh_terms: D002648:Child; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014513:Ureter / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000209:etiology
vernacular_title: Diagnose en behandeling van mega-ureters bij kinderen.