NDLI: Méga-uretères primitifs : étude rétrospective sur dix ans.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hoquétis, L. Le Mandat, A. Bouali, O. Ballouhey, Q. Mouttalib, S. Moscovici, J. Galinier, P.
Description	Country affiliation: France Author Affiliation: Hoquétis L ( Département d'urologie, CHU de Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse cedex 9, France. lionel.hoquetis@gmail.com)
Abstract	INTRODUCTION: The objective of this study was to evaluate the clinical outcome of primary megaureters and to evaluate predictive factor for surgery need based on ultrasound values. METHODS: A total of 43 primary obstructive megaureters detected in 41 patients have been evaluated between January 2000 and may 2010. RESULTS: Mostly boys (73%) were concerned by megaureters, mainly on the left side (66%). Twenty patients were prenatally diagnosed. Surgical indications were: pyonephrosis (3), recurrent pyelonephritis (14), scintigraphic damage (3), ureteric diameter aggravation (7), disease occurring on unique kidney (2). Regarding the 30 patients who benefit surgery, the retrovesical ureter measured, before surgery 19.15 mm (± 7.17) on average and 3.18 mm, 44 months later. Over the 10 patients treated medically, the initial diameter was 9.91 mm and at the end of the study, five patients had megaureter completely regressed, three patients had a diameter greater than 10mm at the end of the study and two faced a worsening evolution with sudden and complete renal damage on scintigraphic nephrogram, after recurrent pyelonephritis despite antibioprophylaxis. CONCLUSION: We recommend a careful watch-fulling of primary megaureters; mainly for those with recurrent infections and whenever the retrovesical ureter diameter exceeds 14 mm at first ultrasound.
File Format	HTM / HTML
ISSN	11667087
Issue Number	7
Volume Number	23
Journal	Progr`es en Urologie
Language	French
Publisher	Elsevier
Publisher Date	2013-06-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Urology Complications Humans Child, Preschool Male English Abstract Journal Article Ureteral Diseases Ureteral Obstruction Time Factors Etiology Surgery Follow-up Studies Female Retrospective Studies
Alternative Title	Primary obstructive megaureters: long-term follow-up
Content Type	Text
Resource Type	Article
Subject	Urology

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