Treatment of the primary functional obstructive megaureter in childhood.
The results of management of primary functional obstructive megaureter are reported in 29 children with 35 obstructed renal units. Grade 1 dilatation was found in 5 renal units, grade 2 in 14 and grade 3 in 16. Grade 1 and uncomplicated grade 2 obstructions were treated expectantly. Surgery was necessary in one grade 1 obstruction deteriorating to grade 2 and in two cases grade 2 with persistent urinary tract infections and deteriorating renal scans. All grade 3 ureters were treated by surgery: in 14 cases reimplantation was combined with calibre reduction of the ureter. In a majority of the patients the results were good in all grades of obstruction and no failures were seen.
Scholtmeijer
R J
RJ
Department of Urology, Erasmus University, Medical School, Rotterdam, The Netherlands.
D002675:Child, Preschool; D004108:Dilatation, Pathologic / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D014517:Ureteral Obstruction / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery