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. 1994 Dec;74(6):715-9.
doi: 10.1111/j.1464-410x.1994.tb07112.x.

A modified extravesical technique for megaureter repair

Affiliations

A modified extravesical technique for megaureter repair

G A McLorie et al. Br J Urol. 1994 Dec.

Abstract

Objective: To report on the use of extravesical detrusorraphy for megaureter repair.

Patients and methods: Twenty-three children underwent an extravesical megaureter repair over a 25 month period. There were 17 boys and 6 girls with an average age of 4.4 years. Three children had bilateral megaureters for a total of 26 repairs. Ureters were defined as megaureters if the ureteric diameter exceeded 1.0 cm on pre-operative imaging. There were 14 obstructing and 12 refluxing ureters. Three of the refluxing ureters were tapered while five of the obstructing megaureters were tapered.

Results: Twenty-one of the 23 patients were successfully repaired using this method. Complications were minimal.

Conclusion: The extravesical approach can be used to correct reflux or obstruction in dilated ureters with efficacy equivalent to transvesical repairs.

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