Giulio Rivetti, Pierluigi Marzuillo, Stefano Guarino, Anna Di Sessa, Angela La Manna, Anthony A Caldamone, Alfonso Papparella, Carmine Noviello
UNLABELLED: Primary non-refluxing megaureter (PMU) is a congenital dilation of the ureter which is not related to vesicoureteral reflux, duplicated collecting systems, ureterocele, ectopic ureter, or posterior urethral valves and accounts for 5 to 10% of all prenatal hydronephrosis (HN) cases. The etiology is a dysfunction or stenosis of the distal ureter. Most often PMU remains asymptomatic with spontaneous resolution allowing for non-operative management. Nevertheless, in selective cases such as the development of febrile urinary tract infections, worsening of the ureteral dilatation, or reduction in relative renal function, surgery should be considered...
March 5, 2024: European Journal of Pediatrics