The Kalicinski ureteral folding technique for megaureter in children. Experience in 23 cases.
We report our series of 16 children with 23 megaureters: 7 were refluxing, 11 were obstructive (7 primary and 4 secondary), 3 both refluxing and obstructive and 2 nonrefluxing nonobstructive. These patients had a Kalicinski folding-under remodeling of their megaureter and Cohen or Lead-better reimplantation. Success rate was 96% with only 2 failures: 1 recurrent low-grade reflux treated with subureteric Teflon injection and 1 stenosis that necessitated reoperation. Kalicinski's technique with Cohen type reimplantation is one of the best alternatives for megaureters, mainly because it does not present the disadvantages of the excisional procedure.
Daher
P
P
Department of Pediatrics, Hôtel-Dieu de France Hospital, Université Saint Joseph, Faculté de Médecine, Beirut, Libanon.
Diab
N
N
Ghorayeb
Z
Z
Korkmaz
G
G
D002675:Child, Preschool; D003952:Diagnostic Imaging; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000601:surgery*