Introduction: We present our 35 years’ experience of managing duplex kidneys with ectopic ureter by simple antireflux ureterocystic reimplantation. Patients and Methods: From December 1974 to April 2009, 36 female children, aged 10 months to 13 years, were treated. Hutch’s antireflux ureterocystic reimplantation was performed after preoperative location and intraoperative identification of the unilateral or bilateral ectopic ureters. Results: Thirty-one patients had follow-up data (range 11 months to 25 years). Postoperatively, there were no reports of dribbling incontinence, urinary frequency, lumbago or recurrent fever with the exception of urinary incontinence in 2 patients. Cystography and intravenous pyelography performed in 27 cases showed no or minimal bladder-ureter reflux. Superior kidney hydronephrosis improved in 12 cases and showed no change in the remaining patients. Conclusions: Antireflux ureterocystic reimplantation is a simple method to treat the duplex kidney with ectopic ureter with minimal induced trauma.

Keywords:
Ectopic ureter, Duplex kidney, Ureterocystic reimplantation
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© 2012 S. Karger AG, Basel
2012
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