[Uretero-calicostomy for hydronephrosis caused by junction disease in children and adolescents. Apropos of 35 cases].
35 children and adolescents were submitted to ureterocalicostomy for PUJ obstruction. The surgical procedure is explained and specially the importance of performing a regular, muco-mucosal anastomosis to avoid its secondary stenosis. 9 patients have an excellent result with absence of clinical symptoms, sterile urinalysis and normal IVP. 20 patients have a good result with absence of clinical symptoms, sterile urinalysis and improvement of the dilatation of the cavities. 2 secondary nephrectomies have had to be performed because of a dysplastic kidney (1 patient) or of a parenchymal infection (1 patient). 2 patients have no clinical symptoms but have no improvement of their IVP. 3 kinds of indications have been distinguished: failures of previous surgery of the PUJ (5 patients); PUJ obstruction associated with congenital kidney abnormalities as horseshoe kidney (15 patients) and malrotation (3 patients); severe PUJ obstructions with a very thin parenchyma (12 patients). Ureterocalicostomy appears to be a helpful procedure in some defined situations where a declive drainage of the urine essential. No late deteriorations have been recorded in this series.
Mollard
P
P
Service d'Urologie Pédiatrique, Hôpital Debrousse, Lyon.
Mouriquand
P
P
Joubert
P
P
Pouyau
A
A
D000293:Adolescent; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D007670:Kidney Calices / Q000601:surgery*; D009392:Nephrectomy; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000150:complications*
Urétéro-calicostomie pour hydronéphrose par maladie de la jonction de l'enfant et adolescent. A propos de 35 cas.