Unconventional Surgical Strategies for the Obstructed Megaureter: What Are the Options and When Should We Use Them?

Surgical treatment of the obstructed megaureter has classically consisted of open reconfiguration (excisional tapering or plication) of the enlarged ureter with subsequent reimplantation into the bladder in a nonrefluxing fashion. Hendren1 and others have championed this early complete definitive form of repair, citing the technical feasibility and high rate of success. When children are deemed to be significantly infected or too young or unstable to be an immediate candidate for early definitive repair, cutaneous ureterostomy has been the classic temporizing surgical option used.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Editorial Source Type: research