Upper pole heminephrectomy: is complete ureterectomy necessary?

摘要: Objective To determine the re-operation rate on distal ureter after upper pole heminephrectomy with incomplete ureterectomy. Patients and methods The case notes from one institution were reviewed retrospectively; 60 heminephrectomies ureterectomy undertaken in 39 girls 16 boys (mean age at primary surgery 27 months, range 3–88). Results Thirty-two children (58%) had an antenatal diagnosis while 12 (22%) presented a urinary tract infection (UTI) six (11%) incontinence. Twenty-nine of renal units (48%) associated ureterocele nine (15%) was ectopic. Ten infants (18%) underwent initial puncture ureterocele. Five patients (8%), all females, required lower re-operation. indications for secondary recurrent UTIs prolapsed one. All five ultrasonographic evidence dilated ureteric stump. Reflux into retained stump detected child. Conclusions redundant this series 8%. risk injury to good may outweigh benefits complete ureterectomy.