Symptomatic Refluxing Distal Ureteral Stump after Retroperitoneoscopic Nephrectomy
نویسندگان
چکیده
A 9-year-old girl with grade 4-5 right vesico-ureteric reflux (VUR) into a solitary collecting system was initially treated with endoscopic Deflux injection. Micturition cystourethrogram (MCUG) performed after 6 months showed a grade 1-2 reflux. After 3 years, MCUG repeated due to recurrent urinary tract infection (UTI), showed severe VUR. DMSA renal scan showed a non-functioning right kidney. The patient underwent a right nephrectomy by retroperitoneoscopic approach. A small distal ureteral stump (DUS) was left. One year after surgery, another MCUG was performed due to recurrent UTI showed an active VUR in the ureteral stump (Fig.1). The 5cm long DUS (Fig. 2) was surgically removed. The child is asymptomatic at follow-up of 5 years.
منابع مشابه
The role of refluxing distal ureteral stumps after nephrectomy.
BACKGROUND/PURPOSE Classically, the refluxing distal ureteral stump has been removed during the nephrectomy by the means of an incision on the flank and lower abdominal wall. There are little data in the literature about the natural history of these stumps. In the current work the authors evaluated possible complications affecting the ureteral stump after total or partial nephrectomy for vesico...
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