Common sheath reimplantation with ureteral plication: A useful technique for the management of ectopic ureterocele

• Published in: International journal of urology Vol. 6; no. 10; pp. 532 - 535
• Main Authors: Yamazaki, Yuichiro, Setoguchi, Kiyoshi, Yago, Rie, Suzuki, Mari, Toma, Hiroshi
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Science Pty 01.10.1999
• Subjects: Child, Preschool; duplex ureter; ectopic ureterocele; Female; Humans; Infant; Replantation; Ureter - surgery; ureteral reimplantation; Ureterocele - surgery; Urologic Surgical Procedures - methods
• ISSN: 0919-8172; 1442-2042
• DOI: 10.1046/j.1442-2042.1999.00101.x

Background : When salvaging the upper pole kidney in duplex ectopic ureterocele, primary bladder level surgery with common sheath ureteral reimplantation has the definite advantage of allowing the reconstruction of the entire collecting system through a single lower abdominal incision. However, there are several complications associated with a common sheath reimplantation in a child with a very dilated upper pole ureter, such as vesicoureteral reflux or ureterovesical stenosis. Methods/Results : To avoid these complications, ureteral plication over the common ureteral sheath in two children with duplex ectopic ureterocele was used. Postoperatively, neither child showed reflux or recurrent urinary tract infection and both showed a marked improvement of the upper pole collecting system. Conclusion : This technique allows for a simple and definitive reconstruction in cases of duplex ectopic ureterocele, particularly with dilated upper pole ureter.