Abstract |
A primary megaureter is an anomaly with a prevesical or overall dilated ureter of more than 6 mm in diameter. It is important to distinguish between cases of primary non-refluxing and primary obstructive-refluxing megaureters, as the treatment of both is completely different. The basic diagnostic work-up includes ultrasonography and voiding cystourethrography. Diuretic renography is used to detect split renal function and the degree of upper urinary tract obstruction. In most cases of primary non-refluxing megaureter surgical treatment is unnecessary due to the high remission rate, whereas obstructive refluxing megaureters commonly only need to be corrected. Antibiotic prophylaxis may be indicated in infants with a primary obstructive megaureter during the first 6 months of life due to a higher risk of complications due to pyelonephritis especially in this age group.
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Authors | P Anheuser, J Kranz, J Steffens, R Beetz |
Journal | Der Urologe. Ausg. A
(Urologe A)
Vol. 52
Issue 1
Pg. 33-8
(Jan 2013)
ISSN: 1433-0563 [Electronic] Germany |
Vernacular Title | Primärer Megaureter. |
PMID | 23340725
(Publication Type: English Abstract, Journal Article)
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Chemical References |
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Topics |
- Anti-Bacterial Agents
(therapeutic use)
- Cystostomy
(methods)
- Female
- Humans
- Infant
- Infant, Newborn
- Laparoscopy
(methods)
- Male
- Ureter
(abnormalities, surgery)
- Ureteral Obstruction
(diagnosis, therapy)
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