title: Successful use of transureteroureterostomy in children: a clinical study.
abstract: The purpose of this review of patients was to look at the current role of transureteroureterostomy in children. In addition, this study should give an indication of the long-term safety of transureteroureterostomy in children with neurogenic bladder. From 1972 on, 70 subjects between the ages of 2 and 13 underwent transureteroureterostomy. In 68 patients (97 %), transureteroureterostomy was used as a salvage renal procedure after unsuccessful ureteroneocytostomy attempts at other institutions. In 2 patients (3 %), transureteroureterostomy was used as a diversion procedure. The postoperative course was uneventful except for 1 case of early anastomotic occlusion successfully treated by application of a double-J stent. No patient required surgical revision of the ureteral anastomosis. However, 4 patients with neurogenic bladder from myelomeningocele developed sequelae. Of these, 1 presented with stenosis at the end of the recipient ureter, 2 had occurrence of vesicoureteral reflux in nonreimplanted recipient ureter, 1 developed calculi in the donor pelvis. This study supports the view that transureteroureterostomy is highly useful for the management of children with a wide spectrum of urological anomalies. However, long-term monitoring of patients with neurogenic bladder who have undergone this procedure is essential to achieve a long-term good outcome.
authors.affiliation: Division of Pediatric Surgery, S. Bortolo Hospital, Vicenza, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Pesce
authors.forename: L
authors.initials: L
authors.lastname: Costa
authors.forename: P
authors.initials: P
authors.lastname: Campobasso
authors.forename: M A
authors.initials: MA
authors.lastname: Fabbro
authors.forename: L
authors.initials: L
authors.lastname: Musi
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014519:Ureterostomy / Q000379:methods*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*