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RMJ. 2015; 40(3): 292-293


Primary megaureter: outcome of surgical treatment

Nisar Ahmed Shaikh, Ghulam Shabir Shaikh, Shabir Ahmed Larik, Akbar Ali Soomro, Malik Hussain Jalbani.

Abstract
Objective: To assess the clinical outcome after surgical treatment of primary megaureter.
Methodology: A retrospective analysis of 15 patients who had reimplantation of primary megaureters between January 2007 and April 2012 was performed. Patients who had additional urinary tract pathology were excluded from the study.
Results: Out of 15 patients, 10 presented with abdominal pain and febrile urinary tract infections, while five presented with failure to thrive and post feed vomiting. Diameter of the megaureter prior to operation was 20 mm (range 15-30 mm). On ultrasound, hydronephrosis decreased in 12 and was unchanged in three after 1 month, postoperatively. After three months postoperatively, hydroureter was no longer detected in 10 and was reduced in five patients.
Conclusion: Reimplantation of a primary mega ureter resulted in improved clinical status, reduced dilation of the ureter and renal pelvis, and free drainage of the upper urinary tract.

Key words: Megaureter, hydronephrosis, reimplantation of ureter.



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