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Megaureter

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https://www.readbyqxmd.com/read/29222673/ureteric-entrapment-in-sacroiliac-joint-causing-hydroureter-and-ipsilateral-kidney-hypertrophy
#1
Yurie Otsuru, Chuichi Kondo, Shohei Hara, Hideo Takahashi, Kenjiro Matsuno
A unilateral megaureter was found in an elderly female cadaver during routine dissection. The left proximal ureter, which was thick and convolute, descended and entered into the pelvic cavity, where the distal ureter was attached to the posterior pelvic wall at the inlet level. Removal of connective tissue surrounding the attached region revealed ureteric entrapment in the sacroiliac joint. The ipsilateral kidney, from which the megaureter originated, showed no pelvicalyceal dilatation. In contrast, the left kidney was enlarged, weighing 24% more than the right kidney...
December 8, 2017: Anatomical Science International
https://www.readbyqxmd.com/read/29203188/congenital-segmental-megaureter-in-an-ectopic-kidney
#2
A Khanna, R S Mavuduru, G S Bora, S K Devana, A K Mandal
We describe the imaging findings of a 19 year female who presented with recurrent urinary tract infections and pain abdomen which was diagnosed to be due to a left sided focal segmental megaureter with a calculus. The highlights of the case are functioning moiety with no other associated anomalies like VUR, Duplex system etc.
December 1, 2017: Urology
https://www.readbyqxmd.com/read/29198999/society-for-fetal-urology-classification-versus-urinary-tract-dilation-grading-systems-for-prognostication-in-prenatal-hydronephrosis-a-time-to-resolution-analysis
#3
Luis H Braga, Melissa McGrath, Forough Farrokhyar, Kizanee Jegatheeswaran, Armando J Lorenzo
PURPOSE: The Urinary Tract Dilation (UTD) grading system for prenatal hydronephrosis (HN) was introduced to address potential shortcomings of the SFU classification. HN resolution is an important patient outcome and frequently discussed during family counselling. Herein we compare these two grading systems and their ability to predict time to HN resolution. MATERIALS AND METHODS: 855 prospectively screened patients between 2009-2015 with prenatal HN due to uretero-pelvic junction-like, primary non-refluxing megaureter or vesico-ureteral reflux; with 454 being excluded due to surgeries, late referrals, absence of postnatal dilation and presence of other anomalies, resulting in 401 eligible patients to be included for analyses...
November 30, 2017: Journal of Urology
https://www.readbyqxmd.com/read/29198187/unusual-presentation-of-prune-belly-syndrome-a-case-report
#4
Abayneh Girma Demisse, Ashenafi Berhanu, Temesgen Tadesse
BACKGROUND: Prune belly syndrome is a rare congenital malformation of unknown etiology, with the following triad of findings: abdominal muscle wall weakness, undescended testes, and urinary tract abnormalities. In most cases, detection of prune belly syndrome occurs during neonatal or infancy period. In this case report, we describe a 12-year-old boy from Ethiopia with the triad of findings of prune belly syndrome along with skeletal malformations. We are unaware of any previous report of prune belly syndrome in Ethiopia...
December 4, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29135146/-laparoscopic-heminephrureterectomy-for-duplex-kidney-in-children
#5
I M Kagantsov, V V Sizonov, V I Dubrov, S G Bon-Darenko, N R Akramov, O S Shmyrov, G I Kuzovleva, N V Markov, D E Sablin, R V Surov, A V Pirogov, A A Logval
INTRODUCTION: Duplication of the upper urinary tract is one of the most common congenital urological anomalies. In patients with critically decreased or lost function of one of the renal segments, heminephrureterectomy is usually the treatment of choice. Until recently, this was an open surgery; in cases of complete removal of the ureter, an additional incision in the iliac region was required. Currently, heminephrureterectomy is increasingly performed laparoscopically. We report the experience in laparoscopic heminephrureterectomy (LHNUE) in 10 clinics in Russia and Belarus...
October 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/29079484/robot-assisted-laparoscopic-megaureter-tapering-with-ureteral-reimplantation-tips-and-tricks
#6
Belinda Li, Bruce W Lindgren, Dennis B Liu, Edward M Gong
OBJECTIVE: The aim was to demonstrate surgical techniques used in pediatric robot-assisted laparoscopic megaureter tapering (RALMT) with ureteral reimplantation. We report on our preliminary experience. METHODS: We reviewed video of patients who underwent RALMT with ureteral reimplantation between August 2012 and November 2015. MT was performed extravesically and ureteral reimplantation was performed by extravesical detrusorrhaphy with ureteral anchoring. All patients had an intraoperatively placed ureteral stent...
October 12, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28893484/-renal-abnormalities-in-down-syndrome-a-review
#7
C Niamien-Attai, J Bacchetta, B Ranchin, D Sanlaville, P Cochat
Down syndrome (DS) is often associated with cardiac malformations, so that kidney damage is little known. The objective of this study was to present the diversity of renal abnormalities and their potential progression to chronic renal failure. Among congenital abnormalities of the kidney and urinary tract (CAKUT) abnormalities appear to be frequent: pyelectasis, megaureters, posterior urethra valves, as well as renal malformations such as renal hypoplasia, horseshoe kidney, or renal ectopia. Contributing factors to acute kidney failure have been described in patients with DS: bilateral lesions and minor renal injury, such as glomerular microcysts, tubular dilation, and immature glomeruli...
September 8, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28867581/high-pressure-balloon-dilatation-of-the-ureterovesical-junction-in-primary-obstructive-megaureter-infectious-morbidity
#8
I Kassite, K Braïk, B Morel, T Villemagne, C Szwarc, Z Maakaroun, A R Cook, H Lardy, A Binet
INTRODUCTION: The objective of this study is to investigate the infectious morbidity associated with high-pressure balloon dilatation (HPBD) and an indwelling double J stent, in primary obstructive megaureter. METHODS: We reviewed the cases of 12 patients undergoing endoscopic treatment for primary obstructive megaureter from January 2012 to January 2015. The characteristics of the infection and data concerning the patient and the intervention were analyzed. RESULTS: The frequency of preoperative urinary tract infection (UTI) was 58%...
September 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28852928/laparoscopic-ureteral-reimplantation-with-extracorporeal-tailoring-and-direct-nipple-ureteroneocystostomy-for-adult-obstructive-megaureter-long-term-outcomes-and-comparison-to-open-procedure
#9
Wenlong Zhong, Lin Yao, Haoran Cui, Kunlin Yang, Gang Wang, Tao Xu, Xiongjun Ye, Xuesong Li, Liqun Zhou
PURPOSE: To evaluate the long-term outcomes of laparoscopic ureteral reimplantation with extracorporeal tailoring and direct nipple ureteroneocystostomy for adult obstructive megaureter and compare the results with the open procedure. METHODS: From January 2007 to July 2013, 22 patients underwent laparoscopic and 28 patients underwent open ureteral reimplantation for adult obstructive megaureter. For laparoscopic group, the dilated ureter was delivered out of through a 12-mm port and the distal end was tailored and formed into an antireflux nipple extracorporeally...
November 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28837795/unconventional-surgical-strategies-for-the-obstructed-megaureter-what-are-the-options-and-when-should-we-use-them
#10
EDITORIAL
Martin Kaefer
No abstract text is available yet for this article.
November 2017: Journal of Urology
https://www.readbyqxmd.com/read/28712197/ipsilateral-renal-agenesis-with-megaureter-blind-end-proximal-ureter-and-ureterocele-in-an-adult
#11
Ateeque Ahmed
We reporting unilateral renal agenesis with ipsilateral ureterocoele, mega ureter and blind end proximal ureter in same patient first time as case report and has not been so far reported in local or international literature. Ultrasound, CT scan and intravenous pyelography performed which confirm the case. Patient presented with left lumber and pelvic pain on and off and history of recurrent urinary tract infection.
January 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28688891/laparoscopic-ureteral-reimplantation-for-obstructive-megaureter-with-deeply-infiltrating-endometriosis
#12
Kiyoshi Kanno, Masaaki Andou, Keisuke Oyama, Shiori Yanai, Akira Shirane, Saori Nakajima, Keiko Ebisawa, Tomonori Hada, Yoshiaki Ota
No abstract text is available yet for this article.
July 5, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28666482/urolithiasis-secondary-to-primary-obstructive-megaureter-in-an-adult-a-case-report
#13
Somuah Tenkorang, Jean-Paul Omana, Soufiane Mellas, Fadl Mohammed Tazi, Jalal Eddine El Ammari, Abdelhak Khallouk, Mohammed Jamal El Fassi, Moulay Hassan Farih
BACKGROUND: Primary obstructive megaureter is relatively uncommon in adults. This condition usually regresses spontaneously or is treated during infancy. It can remain asymptomatic for decades until adulthood when symptoms may manifest in the event of complications or during a routine radiologic imaging. Primary obstructive megaureter has been reported to favor stone formation in the upper urinary tract. CASE PRESENTATION: We present the case of a 35-year-old Moroccan man who had a 10-year history of intermittent left flank pain and hematuria...
July 1, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28594594/laparoscopic-assisted-extravesical-ureteral-reimplantation-and-extracorporeal-ureteral-tapering-repair-for-primary-obstructive-megaureter-in-children
#14
Manuel Lopez, Romy Gander, Gloria Royo, François Varlet, Marino Asensio
BACKGROUND: Open surgery is a preferred treatment for primary obstructive megaureter (POM) in cases where the conservative treatment fails, with reported success rates of 90%-96%. OBJECTIVE: To describe our initial experience in the treatment of POM by laparoscopic-assisted extracorporeal ureteral tapering repair (EUTR) and laparoscopic ureteral extravesical reimplantation (LUER) by following Lich Gregoir technique as an alternative to open surgery. DESIGN, SETTING, AND PARTICIPANTS: A total of 7 patients with POM underwent laparoscopic-assisted extracorporeal ureteral tapering repair and ureteral extravesical reimplantation by following Lich Gregoir technique between 2011 and 2014...
August 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28571679/side-to-side-refluxing-nondismembered-ureterocystotomy-a-novel-strategy-to-address-obstructed-megaureters-in-children
#15
Fahad A Alyami, Martin A Koyle, Paul R Bowlin, Joseph M Gleason, Luis H Braga, Armando J Lorenzo
PURPOSE: A nonrefluxing megaureter is a relatively common cause of antenatal hydronephrosis. Although nonoperative management is favored, surgical intervention is sometimes warranted. However, there is controversy regarding the best approach, particularly in young children. We describe our experience with nondismembered side-to-side refluxing ureterocystotomy as a simple option to address obstruction. MATERIALS AND METHODS: Between January 2012 and January 2017, 32 patients underwent ureterocystotomy at 4 referral centers in North America...
November 2017: Journal of Urology
https://www.readbyqxmd.com/read/28554748/nephrogenic-adenoma-of-the-urinary-tract-a-6-year-single-center-experience
#16
Didem Turcan, Mustafa Fuat Acikalin, Evrim Yilmaz, Funda Canaz, Deniz Arik
BACKGROUND: Nephrogenic adenoma is an uncommon benign lesion that occurs at several sites in urinary tract, from the renal pelvis to urethra, with the highest frequency in urinary bladder. Nephrogenic adenoma displays a broad spectrum of architectural and cytological features. Hence, recognition of its characteristic histopathological features is needed to distinguish this lesion from its mimickers. MATERIALS AND METHODS: A retrospective series of 21 cases of nephrogenic adenoma in 18 patients, which were diagnosed in our department between 2010 and 2016, were analyzed...
March 25, 2017: Pathology, Research and Practice
https://www.readbyqxmd.com/read/28532765/prenatal-complicated-duplex-collecting-system-and-ureterocele-important-risk-factors-for-urinary-tract-infection
#17
Sofia Visuri, Timo Jahnukainen, Seppo Taskinen
PURPOSE: To evaluate the risk of urinary tract infections (UTIs) in infants with prenatally detected complicated duplex collecting system (CDS) or ureterocele. MATERIALS AND METHODS: All patients with prenatally detected CDS (n=34) or single system ureterocele (n=7) who were admitted to our institution between 2003 and 2013 were enrolled in this retrospective analysis. Duplex collecting systems with ureterocele (n=13), vesicoureteral reflux (VUR) (n=20) or nonrefluxing megaureter without ureterocele (n=7) were determined as complicated...
May 11, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28479766/novel-technique-of-laparoscopic-extravesical-ureteric-reimplantation-in-primary-obstructive-megaureter
#18
Altaf Khan, Mujeebu Rahiman, Ashish Verma, Rahul Bhargava
OBJECTIVE: This study aims to demonstrate a novel laparoscopic technique of tapering megaureter without disrupting the blood supply and disconnecting the ureter. MATERIALS AND METHODS: Eight cases of primary obstructive megaureter in the age group of 14-22 years underwent laparoscopic extravesical ureteric reimplantation between August 2011 and July 2015 using our novel technique. Five patients had obstruction on left side and three on right side. Follow-up ultrasonography at 1 month and 3 months, voiding cystourethrogram (VCUG) at 3 months and intravenous urogram (IVU) at 6 months was obtained to assess the development of reflux and to look for adequate drainage of the obstructive ureter...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28476680/an-inguinal-approach-to-complex-extravesical-ureteral-reimplantation
#19
Adam S Howe, Lane S Palmer
OBJECTIVE: To report our experience in applying the Lich-Gregoir extravesical ureteral reimplantation (EVR) approach to complex cases (megaureter, duplex systems) through a small inguinal incision, with the goal of minimizing invasiveness. MATERIALS AND METHODS: We reviewed the records of all patients who underwent common sheath or tapered EVR through an inguinal incision. Patient characteristics and reflux grade were obtained, and outcomes were assessed. The technique involved a 2-cm incision made in the lowest inguinal skin crease, standard cord exposure and lateral retraction, and opening the floor of the canal to isolate the ureter...
August 2017: Urology
https://www.readbyqxmd.com/read/28422037/ureteral-meatotomy-as-an-option-in-the-management-of-primary-obstructive-megaureter-in-neonates-and-infants
#20
Priscila Cardoso Braz, Fernanda Ghilardi Leão, Jovelino Quintino de Souza Leão, Luciano Silveira Onofre, Giselle Machado Campos de Oliveira, José Carnevale, Carlos Miguélez Lago
Differentiating between the cases of megaureter that require surgery and the ones in whom treatment can be delayed is challenging. A large number of surgical techniques for the treatment of POM been proposed aiming mainly to reduce renal damage by relieving the affected ureter. Resection of the affected ureteral segment followed by vesicoureteral reimplantation either with or without reduction ureteroplasty is the classic treatment, however posing a high rate of complications when performed in patients aged less than one year...
April 2017: Archivos Españoles de Urología
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