Extravesical Diverticuloplasty for Repair of A Paraureteral Diverticulum and the Associated Refluxing Ureter

Abstract

No AccessJournal of UrologyPEDIATRIC UROLOGY1 Sep 2002Extravesical Diverticuloplasty for Repair of A Paraureteral Diverticulum and the Associated Refluxing Ureter Tsan Jung Yu Tsan Jung YuTsan Jung Yu View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64610-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Extravesical diverticuloplasty for repairing a paraureteral (Hutch) diverticulum and the related refluxing ureter is presented. Materials and Methods: Of the 16 children in this study 10 had bilateral paraureteral diverticula with associated bilateral vesicoureteral reflux, 2 had bilateral paraureteral diverticula with a bilateral duplicated ureter, unilateral duplex refluxing ureters and contralateral lower moiety vesicoureteral reflux, and 4 had a unilateral paraureteral diverticulum with an ipsilateral refluxing ureter. The anatomical relationship of the ureteral orifice and diverticulum was identified by cystourethroscopy preoperatively and confirmed during the extravesical operation. The surgical technique differed depending on the size of the diverticulum and the position of the ureteral opening when the bladder was completely distended. The larger prolapsed diverticular mucosa served as a backing for the detrusor muscle, which was closed over the ureter, and the smaller diverticulum was repaired as a dilated ureter. Overall 30 renal units with grades II to IV vesicoureteral reflux were corrected by this method. Results: All patients were followed with ultrasound and voiding cystourethrography 3 and 9 months postoperatively. The diverticula with associated refluxing ureters were successfully cured. Neither postoperative recurrence nor ureteral obstruction were noted. 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Linke C and Mongiat-Artus P (2004) Tratamiento de los divertículos vesicalesEMC - Urología, 10.1016/S1761-3310(04)41041-X, VOL. 36, NO. 3, (1-7), . Volume 168Issue 3September 2002Page: 1135-1137 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsureterdiverticulumvesico-ureteral refluxabnormalitiesMetrics Author Information Tsan Jung Yu More articles by this author Expand All Advertisement PDF downloadLoading ...