Abstract
Purpose: We evaluated the natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy. Materials and Methods: Between 1985 to 1996, 38 patients a mean age of 37 months underwent nephrectomy and partial ureterectomy for reflux into a nonfunctioning kidney. The diagnosis included primary reflux in 23 patients, reflux associated with posterior urethral valves in 10 and ipsilateral ureterocele in 5. Mean followup was 45 months. Results: Only 1 patient with an ipsilateral ureterocele and 1 with contralateral reflux (5%) had symptomatic infections during postoperative followup, and each underwent a secondary procedure to remove the ureteral stump. No patient with only primary unilateral reflux required surgery for the refluxing stump. Conclusions: Because of the low risk of morbidity associated with a refluxing ureteral stump, we recommend nephrectomy and proximal ureterectomy in patients with reflux into a nonfunctioning kidney.
Original language | English (US) |
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Pages (from-to) | 1026-1027 |
Number of pages | 2 |
Journal | Journal of Urology |
Volume | 160 |
Issue number | 3 II |
DOIs | |
State | Published - Sep 1998 |
Externally published | Yes |
Keywords
- Kidney
- Nephrectomy
- Recurrence
- Ureter
- Vesico-ureteral reflux
ASJC Scopus subject areas
- Urology