Treatment of neuromuscular dysplasia of the vesicoureteral segment of the ureters in children

Aim. To optimize conservative and surgical treatment of neuromuscular dysplasia the vesicoureteral segment in children. Materials methods . Study included 84 operated children with ureters. Megaureter antenatally diagnosed 28 (25.4%) children: Ι degree - 5, II 9, III 10, IV 4 The main criteria for diagnosing a megaureter perinatal period are an expansion anterior-posterior size pelvis, visualization dilated ureter, СFM identification weakening renal blood flow affected side. Results discussion As result minimally invasive therapy – stenting ureters up to 2 years, urodynamics were restored phenomena ureterohydronephrosis eliminated 30 (27.2%) patients. In 32 (29%) patients, percutaneous puncture nephrostomy was performed, aimed at reducing collecting system kidney, as well preparing treatment. patients (84) divided into 3 groups: Group I according Politano-Ledbetter method (29); Cohen (20); extravesical reimplantation ureter antireflux protection, developed clinic pediatric surgery (35). Complications noted 8 (27.5%) after operation; (20%) cases 5 (14.2%) protection. Conclusion. ureteral reimplantation, tested Clinic Pediatric Surgery, is fairly effective way treat megareteral disease This technique highly older than 1-3 which makes 85.8%.