title: Recurrent symptoms of urinary tract infection in eight patients with refluxing ureteric stumps.
abstract: OBJECTIVE
  To evaluate and discuss the recurrent symptoms presented by eight patients with refluxing ureteric stumps.
  
  
  METHODS
  Eight patients (three boys, five girls; mean age: 8 years, range 11 months-14 years) with refluxing ureteric stumps presented with recurrent urinary tract infections. Six developed symptoms mimicking pyelonephritis, even though the kidney had been partially [5] or totally [3] removed. The stump was removed in all patients.
  
  
  RESULTS
  The stumps that were excised measured between 5 and 10 cm in length and were always dilated and inflamed. The results of histological examination and follow-up are reported.
  
  
  CONCLUSIONS
  A dual approach is recommended when complete excision of the kidney and ureter is required. Symptoms of pyelonephritis are not pathognomonic of parenchymal infection but reflect infection above the vesico-ureteric junction. The distinction between supra-junctional and infra-junctional urinary tract infections seems more appropriate and is discussed.
authors: Department of Paediatric Urology, Addenbrooke's Hospital, Cambridge, UK.
authors: R
authors: R
authors: Persad
authors: S
authors: S
authors: Kamineni
authors: P D
authors: PD
authors: Mouriquand
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009392:Nephrectomy; D011704:Pyelonephritis / Q000473:pathology; D012008:Recurrence; D014552:Urinary Tract Infections / Q000209:etiology* / Q000473:pathology; D014718:Vesico-Ureteral Reflux / Q000150:complications* / Q000473:pathology