International Urology and Nephrology

, Volume 14, Issue 2, pp 133–142 | Cite as

Ureterocystoplasty for megaureter: A technique practicable in bladder wall fibrosis

  • J. Tóth
  • P. Szőnyi
  • K. Timár
  • M. Merksz
Article
  • 21 Downloads

Abstract

The cause of megaureter (hydroureter) is inadequacy of the ureterovesical junction. The only possible means of its therapy consists in a surgical reconstruction of the ureterovesical junction.

A technical modification of ureterocystoplasty for megaureter, having been employed since 1976, is described. It basically consists in the construction of a tunnel from the ureter within the bladder, the ureter being sutured to the wall of the bladder only loosely.

In 150 children 182 ureteroneocystoplastic operations were done. As confirmed by the postoperative course, as well as by the results of the follow-up studies, the technique may be used with benefit even in case of infection, impaired renal function or bladder wall fibrosis.

Keywords

Public Health Renal Function Impaired Renal Function Technical Modification Bladder Wall 

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References

  1. 1.
    Csontai, Á., Lipton, J., Szöllősi, Gy., Gaizler, Gy.: Bladder-flap plasty (Boary-Mező) for the normalization of urinary transport.Urol. Nephrol. Szle., 9, 7 (1981).Google Scholar
  2. 2.
    Fryczkowsky, M.: Results of operative treatment of vesico-ureteral reflux by the Leadbetter-Politano method.Int. Urol. Nephrol., 8, 41 (1976).PubMedGoogle Scholar
  3. 3.
    Hendren, W. H.: A new approach to severe obstructive uropathy. Early complete reconstruction.J. Pediat. Surg, 5, 184 (1974).Google Scholar
  4. 4.
    Hendren, W. H.: In: Surgical Pediatric Urology. Georg Thieme Verlag, Stuttgart 1977, p. 218.Google Scholar
  5. 5.
    Johnston, J. H., Kulatilake, A. E.: The sequelae of posterior urethral valves.Brit. J. Urol., 43, 743 (1971).PubMedGoogle Scholar
  6. 6.
    Marberger, M.: The Lich-Grégoir antireflux plasty: experiences with 371 children.J. Urol., 120, 216 (1978).PubMedGoogle Scholar
  7. 7.
    Német, A.: Present approach to the therapy of vesicoureteral reflux.Orv. Hetil., 118, 394 (1977).PubMedGoogle Scholar
  8. 8.
    Szendrői, Z., Lánczos, F., Tóth, J.: Surgical treatment of vesicoureteral reflux in children.Int. Urol. Nephrol., 1, 171 (1969).Google Scholar

Copyright information

© Akadémiai Kiadó 1982

Authors and Affiliations

  • J. Tóth
    • 1
  • P. Szőnyi
    • 1
  • K. Timár
    • 1
  • M. Merksz
    • 1
  1. 1.Department of Surgical UrologyHeim Pál Children's HospitalBudapest

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