Use of ureter of nonfunctioning renal unit in pediatric urinary reconstruction.
If following posterior urethral valve fulguration a unilateral nonfunctioning or poorly functioning kidney remains, nephroureterectomy is the customary method of management. The distal ureter of such renal units can serve as a means of salvage for complications resulting from surgery on the ureter serving the remaining solitary functioning renal unit. We present 2 cases of posterior urethral valves where planned preservation of the distal ureter of a nonfunctioning kidney allowed salvage of such complications. We advocate preserving the ureter of a nonfunctioning renal unit if possible until the fate of the solitary functioning kidney and ureter is clear. This approach can be applied to other aspects of pediatric urologic reconstructive surgery.
D002675:Child, Preschool; D003558:Cystoscopy; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D011859:Radiography; D014513:Ureter / Q000601:surgery*; D014524:Urethral Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*