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Aim <p>To evaluate cases of uretero-ureterostomy (UU) in complicated duplex kidney and determine if it is a safe and efficient option.</p> Methods <p>Data of patients undergoing UU from 2012 to 2024 were collected retrospectively from the electronic patient record system. The parameters considered included pre-operative imaging, symptoms, postoperative complications, and follow-up.</p> Results <p>21 cases of complicated duplex kidneys underwent UU at a median age of 29&#xa0;months (IQR 15–61). 14 (67%) were antenatally diagnosed while the remaining seven (23%) were diagnosed at a median age of 74&#xa0;months (IQR 8–118). Of those diagnosed postnatally, five presented with urinary incontinence and the remaining two with urinary tract infections. There were nine (43%) cases of ectopic ureters, ten (48%) had ureterocoeles and six patients (28%) had lower moiety vesicoureteric reflux (VUR). 1 case was performed open, 13 were laparoscopic assisted and seven were laparoscopic. 19 patients had upper to lower end to side uretero-ureterostomies and two patients had lower to upper end to side uretero-ureterostomies for lower moiety Grade V VUR.</p> <p>The median hospital stay was 1&#xa0;day (IQR 1–3), and the median follow up was 15.5&#xa0;months (IQR 8.25–30.75). In 9 out of 10 patients with ureterocoele, post-procedure ultrasound scan showed resolution/reduction of upper tract dilatation and collapsed ureterocoele. One patient needed secondary puncture of ureterocoele due to persistent discharge and one patient had lower urinary tract infection. All patients with ectopic ureters were dry.</p> Conclusion <p>Uretero-ureterostomy is a good and safe option in complicated duplex kidneys. It does merit longer term evaluation.</p>

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Outcome of uretero-ureterostomy in complicated duplex kidney in children from a single tertiary paediatric urology unit

  • 期刊论文

  • 发表日期：

    2025年5月16日

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  • Sharon Mohan Kunnath,
  • Damini Jha,
  • Arash Taghizadeh,
  • Massimo Garriboli,
  • Anu Paul,
  • Pankaj Mishra

摘要

Aim

To evaluate cases of uretero-ureterostomy (UU) in complicated duplex kidney and determine if it is a safe and efficient option.

Methods

Data of patients undergoing UU from 2012 to 2024 were collected retrospectively from the electronic patient record system. The parameters considered included pre-operative imaging, symptoms, postoperative complications, and follow-up.

Results

21 cases of complicated duplex kidneys underwent UU at a median age of 29 months (IQR 15–61). 14 (67%) were antenatally diagnosed while the remaining seven (23%) were diagnosed at a median age of 74 months (IQR 8–118). Of those diagnosed postnatally, five presented with urinary incontinence and the remaining two with urinary tract infections. There were nine (43%) cases of ectopic ureters, ten (48%) had ureterocoeles and six patients (28%) had lower moiety vesicoureteric reflux (VUR). 1 case was performed open, 13 were laparoscopic assisted and seven were laparoscopic. 19 patients had upper to lower end to side uretero-ureterostomies and two patients had lower to upper end to side uretero-ureterostomies for lower moiety Grade V VUR.

The median hospital stay was 1 day (IQR 1–3), and the median follow up was 15.5 months (IQR 8.25–30.75). In 9 out of 10 patients with ureterocoele, post-procedure ultrasound scan showed resolution/reduction of upper tract dilatation and collapsed ureterocoele. One patient needed secondary puncture of ureterocoele due to persistent discharge and one patient had lower urinary tract infection. All patients with ectopic ureters were dry.

Conclusion

Uretero-ureterostomy is a good and safe option in complicated duplex kidneys. It does merit longer term evaluation.