Natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy for vesicoureteral reflux

Mark P. Cain, John C. Pope, Anthony J. Casale, Mark C. Adams, Michael A. Keating, Richard C. Rink

Research output: Contribution to journalArticle

35 Citations (Scopus)

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 languageEnglish
Pages (from-to)1026-1027
Number of pages2
JournalJournal of Urology
Volume160
Issue number3 II
DOIs
StatePublished - Sep 1998

Fingerprint

Vesico-Ureteral Reflux
Natural History
Nephrectomy
Ureterocele
Kidney
Morbidity
Infection

Keywords

  • Kidney
  • Nephrectomy
  • Recurrence
  • Ureter
  • Vesico-ureteral reflux

ASJC Scopus subject areas

  • Urology

Cite this

Natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy for vesicoureteral reflux. / Cain, Mark P.; Pope, John C.; Casale, Anthony J.; Adams, Mark C.; Keating, Michael A.; Rink, Richard C.

In: Journal of Urology, Vol. 160, No. 3 II, 09.1998, p. 1026-1027.

Research output: Contribution to journalArticle

Cain, Mark P. ; Pope, John C. ; Casale, Anthony J. ; Adams, Mark C. ; Keating, Michael A. ; Rink, Richard C. / Natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy for vesicoureteral reflux. In: Journal of Urology. 1998 ; Vol. 160, No. 3 II. pp. 1026-1027.
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