Abstract
Often misdiagnosed as primary megaureter or pelviureteric junction obstruction, congenital ureteral stenosis and valves are the main causes of congenital ureteric obstruction. We report three consecutive cases of congenital ureteric strictures presenting with antenatally diagnosed hydronephrosis. Two of our cases had a contralateral multicystic dysplastic kidney. We discuss the aetiology, clinical presentation, diagnostic evaluation, surgical management, and operative results as well as present an overview of the international literature, highlighting the importance of early referral in cases of contralateral abnormality as well as the importance of performing a retrograde study to facilitate the diagnosis and choice of incision.
This is a preview of subscription content, log in via an institution to check access.
References
Allen TD (1970) Congenital ureteral strictures. J Urol 104:196–204
Cussen LJ (1987) The morphology of congenital dilatation of the ureter: intrinsic ureteral lesions. Aust N Z J Surg 41:185
Tartari F, Bezhani E, Rota T, Subashi S, Shehu M, Harito F, Xhafa B, Bakalli V, Gjokutaj A (1998) Ureteral valves associated with ureteral stricture. Report of four cases. Eur Urol 33(4):412–413
Ruano-Gil D, Coca-Payeras A, Tejedo-Mateu A (1975) Obstruction and normal recanalisation of the ureter in the human embryo. Its relation to congenital ureteric obstruction. Eur Urol 1(6):287–293
Gitlin J, Kaefer M (2002) Congenital mid ureteric stricture presenting as prenatal hydronephrosis. J Urol 168(3):1154–1155
Docimo SG, Lebowitz RL, Retik AB, Colodny AH, Bauer SB, Mandell J (1989) Congenital midureteral obstruction. Urol Radiol 11(3):156–160
Jayanthi VR, Churchill BM, Thorner PS, McLorie GA, Khoury AE (1995) Bilateral congenital midureteral adynamic segments. Urol 45(3):520–523
Hwang T, Yoon J, Ahn J, Park Y (1996) Percutaneous endoscopic management of upper ureteral stricture: size of stent. J Urol 155:882–884
Minevich E, Rousseau MB, Wacksman J, Lewis AG, Sheldon CA (1997) Pediatric ureteroscopy: technique and preliminary results. J Pediatr Surg 32(4):571–574
Kosto B (1971) Congenital midureteric stricture in a solitary kidney. J Urol 106(4):529–531
Ayyat FM, Adams G (1985) Congenital midureteric strictures. Urol 26(2):170–172
Hirai K, Ueda H, Segawa N, Yamamoto K, Kanchara H, Suzuki T, Takasaki N (1994) Congenital midureteral stricture with ectopic ureter: a case report. Acta Urol Jpn 40(1):71–74
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cauchi, J.A., Chandran, H. Congenital ureteric strictures: an uncommon cause of antenatally detected hydronephrosis. Ped Surgery Int 21, 566–568 (2005). https://doi.org/10.1007/s00383-005-1455-0
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-005-1455-0