title: Long-term outcome of duplex kidney with ectopic ureter treated by antireflux ureterocystic reimplantation.
abstract: BACKGROUND
  We present our 35 years' experience of managing duplex kidneys with ectopic ureter by simple antireflux ureterocystic reimplantation.
  
  
  METHODS
  From December 1974 to April 2009, 36 female children, aged 10 months to 13 years, were treated. Hutch's antireflux ureterocystic reimplantation was performed after preoperative location and intraoperative identification of the unilateral or bilateral ectopic ureters.
  
  
  RESULTS
  Thirty-one patients had follow-up data (range 11 months to 25 years). Postoperatively, there were no reports of dribbling incontinence, urinary frequency, lumbago or recurrent fever with the exception of urinary incontinence in 2 patients. Cystography and intravenous pyelography performed in 27 cases showed no or minimal bladder-ureter reflux. Superior kidney hydronephrosis improved in 12 cases and showed no change in the remaining patients.
  
  
  CONCLUSIONS
  Antireflux ureterocystic reimplantation is a simple method to treat the duplex kidney with ectopic ureter with minimal induced trauma.
authors.affiliation: Department of Urology, Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China. gubaojun@yahoo.com
authors.forename: Baojun
authors.initials: B
authors.lastname: Gu
authors.forename: Xiaolu
authors.initials: X
authors.lastname: Wang
authors.forename: Yuemin
authors.initials: Y
authors.lastname: Xu
mesh_terms: D000015:Abnormalities, Multiple; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002681:China; D002828:Choristoma / Q000601:surgery*; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007223:Infant; D007668:Kidney / Q000002:abnormalities / Q000601:surgery*; D012092:Replantation / Q000009:adverse effects; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014513:Ureter; D018666:Ureteroscopy / Q000009:adverse effects; D014549:Urinary Incontinence / Q000209:etiology; D014564:Urogenital Abnormalities / Q000150:complications / Q000175:diagnosis / Q000601:surgery*