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Titolo:
Upper pole heminephrectomy: is complete ureterectomy necessary?
Autore:
Ade-Ajayi, N; Wilcox, DT; Duffy, PG; Ransley, PG;
Indirizzi:
Great Ormond St Hosp Children, Dept Urol, London WC1N 3JH, England Great Ormond St Hosp Children London England WC1N 3JH WC1N 3JH, England
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 1, volume: 88, anno: 2001,
pagine: 77 - 79
SICI:
1464-4096(200107)88:1<77:UPHICU>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER TRACT APPROACH; MANAGEMENT; URETEROCELES; EXPERIENCE; SYSTEM;
Keywords:
ureterectomy; children; outcome; re-operation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Wilcox, DT Great Ormond St Hosp Children, Dept Urol, Great Ormond St, London WC1N 3JH, England Great Ormond St Hosp Children Great Ormond St London England WC1N 3JH
Citazione:
N. Ade-Ajayi et al., "Upper pole heminephrectomy: is complete ureterectomy necessary?", BJU INT, 88(1), 2001, pp. 77-79

Abstract

Objective To determine the re-operation rate on the distal meter after upper pole heminephrectomy with incomplete ureterectomy. Patients and methods The case notes from one institution were reviewed retrospectively; 60 upper pole heminephrectomies with incomplete ureterectomy were undertaken in 39 girls and 16 boys (mean age at primary surgery 27 months, range 3-88). Results Thirty-two children (58%) had an antenatal diagnosis while 12 (22%) presented with a urinary tract infection (UTI) and six (11%) with urinaryincontinence. Twenty-nine of the 60 renal units (48%) had an associated ureterocele and in nine (15%) the ureter was ectopic. Ten infants (18%) underwent initial puncture of a ureterocele. Five patients (8%), all females, required lower urinary tract re-operation. The indications for secondary surgery were recurrent UTIs in all and a prolapsed ureterocele in one. All fivehad ultrasonographic evidence of a dilated ureteric stump. Reflux into theretained stump was detected in one child. Conclusions The re-operation rate for a redundant ureteric stump in this series was 8%. The risk of injury to the good ureter may outweigh the benefits of a complete ureterectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 03:33:40