[Transureteroureterostomy. Results in a series of 42 children and young adults].
Forty two TUU have been performed from 1974 to 1986 in children and young adults: the youngest was 10 years, the oldest 26. The mean follow-up has been more than 5 years: 23 bladder exstrophies, 12 neurogenic bladders, 5 mega-ureters and 2 retroperitoneal tumors. TUU were performed after failure of uretero-cysto-neostomies (8/42) ou uretero-sigmoid reimplantation (19/42). The technique with details about drainage (16/42) is described. In 5 cases, complications appeared early: 3 fistulae, 2 sweelings of the anastomosis. tests done 3 months after the operation did not show any other complication in relation with the TUU. Nevertheless one reflux and 3 stenoses of the end of the recipient ureter caused dilatation of two upper urinary tracts. During the long term follow-up, it was necessary to perform 2 nephrectomies of the donor ureter and 5 operations on the end of the recipient ureter. These complications were independant of the TUU. The final result of TUU was excellent.
Villers
A
A
Service de Chirurgie Pédiatrique, Hôpital Saint-Joseph, Paris.
Cohen
L
L
Melin
Y
Y
Cendron
J
J
D000293:Adolescent; D000328:Adult; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D012186:Retroperitoneal Neoplasms / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*; D014519:Ureterostomy; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*
Transurétérourétérostomie. Résultats d'une série de quarante-deux enfants et adultes jeunes.