Ureteroureteral anastomosis in the treatment of reflux associated with ureteral duplication.

Abstract

Reflux is the most common pathological condition associated with ureteral duplication. Based on 18 cases of reflux associated with ureteral duplication that were managed by ipsilateral ureteroureteral anastomosis, we analyzed this method of treatment and its advantages. Between 1978 and 1991, 19 ipsilateral ureteroureterostomies were performed in 18 children. No complications were noted perioperatively or postoperatively. Average 38-month followup was uneventful. End-to-side ipsilateral ureteroureterostomy behind the bladder is simple and safe with respect to bladder integrity, and so it decreases morbidity and hospitalization. Indications for this operation are well-defined and they must be recognized.