Modified method of ureterocystoneostomy with ureterocele in children: our experiences
https://doi.org/10.24412/2790-1289-2023-2-12-18
Abstract
The article describes the results of introducing the method of surgical treatment of congenital megaureter with complete renal doubling with ureterocele in children, which was used in 5 patients. The stages of surgical technique are described in detail. The introduction of this method made it possible to achieve positive results in the surgical treatment of congenital double megoureteral disease. Also, based on the data of the literature review, a comparative analysis of the results of treatment with ureterocystoneostomy in a single block in case of doubled megaureter is carried out. The advantages of the introduced surgical technique were achieved due to the innovative technique of Y-shaped anastomosis: improvement of kidney function, reduction of hospitalization duration, positive dynamics in the early and late postoperative periods were achieved.
Supporting agencies: Absent
About the Authors
Y. Ayazbekov
NEI «Kazakh-Russian Medical University»
Kazakhstan
Kazakhstan
Yermek Ayazbekov, Doctor of Medical Sciences, Professor
Almaty
R. Bishmanov
Scientific Center of Paediatrics and Children Surgery
Kazakhstan
Kazakhstan
Rustem Bishmanov, Candidate of Medical Sciences
Almaty
B. Abekenov
Scientific Center of Paediatrics and Children Surgery
Kazakhstan
Kazakhstan
Bakitzhan Abekenov, PhD
Almaty
M. Rakhmanov
NEI «Kazakh-Russian Medical University»
Kazakhstan
Kazakhstan
Marat Rakhmanov, Doctor of Medical Sciences
Almaty
References
1. USON A.C., LATTIMER J.K., & MELICOW M.M. (1961). Ureteroceles in infants and children: a report based on 44 cases. Pediatrics, 27, 971 – 983.
2. Gomes J., Mendes M., Castro R., & Reis A. (2002). Current role of simplified upper tract approach in the surgical treatment of ectopic ureteroceles: a single centre's experience. European urology, 41(3), 323–327. doi: 10.1016/s0302-2838(02)00042-8.
3. Shankar K.R., Vishwanath N., & Rickwood A.M. (2001). Outcome of patients with prenatally detected duplex system ureterocele; natural history of those managed expectantly. The Journal of urology, 165 (4), 1226 – 1228.
4. Gurcan Turkyilmaz, Bilal Cetin, Tugba Sivrikoz, Emircan Erturk, Tayfun Oktar, Ibrahim Kalelioglu, Recep Has, Atil Yuksel, Antenatally detected ureterocele: Associated anomalies and postnatal prognosis, Taiwanese Journal of Obstetrics and Gynecology, Volume 58, Issue 4, 2019, Pages 531-535, ISSN 1028-4559, doi: 10.1016/j.tjog.2019.05.018.
5. Yvonne Y. Chan, Earl Y. Cheng, Chapter 10 - Bladder level surgery for ureteroceles, Editor(s): Michael Leonard, Luis Guerra, Ureteroceles, Academic Press, 2020, Pages 117-139, ISBN 9780128178881, doi: 10.1016/B978-0-12-817888-1.00010-0.
6. Schwartz G.J., Muñoz A., Schneider M.F., Mak R.H., Kaskel F., Warady B.A., & Furth S.L. (2009). New equations to estimate GFR in children with CKD. Journal of the American Society of Nephrology: JASN, 20(3), 629–637. doi: 10.1681/ASN.2008030287.
7. Bettex M., Kummer-Vago M., & Kuffer F. (1970). Ureteroneocystostomy in refluxing ureteric duplication: Indications, technique and results. Journal of Pediatric Surgery, 5(6), 622–627. doi: 10.1016/s0022-3468(70)80007-0
8. Berger C, Koen M, Becker T, Mitter K, Riccabona M. The role of the Lich-Gregoir procedure in refluxing duplicated collecting systems: experience from long-term follow up of 45 children. J Pediatr Urol. 2008;4(4):265-269. doi: 10.1016/j.jpurol.2007.12.010.
9. Yin X., & Yang Y. (2022). Risk factors for postoperative adverse outcomes and secondary surgery in pediatric patients with unilateral ectopic ureterocele associated with the duplex system. Journal of Pediatric Urology. doi: 10.1016/j.jpurol.2022.10.022.
10. Coplen D. E., & Barthold J. S. (2000). Controversies in the management of ectopic ureteroceles. Urology, 56(4), 665–668. doi:10.1016/s0090-4295(00)00721-4.
11. Yoo E., Kim H., & Chung S. (2007). Bladder surgery as first-line treatment of complete duplex system complicated with ureterocele. Journal of Pediatric Urology, 3 (4), 291–294. doi: 10.1016/j.jpurol.2006.10.009.
Review
For citations:
Ayazbekov Y., Bishmanov R., Abekenov B., Rakhmanov M. Modified method of ureterocystoneostomy with ureterocele in children: our experiences. Actual Problems of Theoretical and Clinical Medicine. 2023;(2):12-18. (In Russ.) https://doi.org/10.24412/2790-1289-2023-2-12-18
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