Year : 2010 | Volume
: 2 | Issue : 3 | Page : 114--118
Endoscopic placement of double-J ureteric stents in children as a treatment for primary obstructive megaureter
Daniel Carroll, Harish Chandran, Ashwini Joshi, Liam S. L. McCarthy, Karan Parashar
Department of Paediatric Urology, Birmingham Children's Hospital NHS Trust, Steelhouse Lane, Birmingham, United Kingdom
Aim: To determine the efficacy and potential complications of double-J ureteric stents in the treatment of persistent or progressive primary obstructive megaureter in pediatric patients within our institution.
Materials and Methods: A retrospective case-note review of all patients with double-J ureteric stents, between 1997 and 2004, was performed. In all, 38 stents were inserted in 31 patients aged between 2 months and 15 years of age. Complications and results of follow-up investigations and the need for follow-up investigations were recorded. Patients were followed up clinically and radiologically for a minimum of 2 years following stent insertion.
Results: Endoscopic placement of double-J ureteric stents in childhood is straightforward and complications are uncommon (8/38 insertions). In non-resolving or progressive primary non-refluxing megaureter, double-J ureteric stenting alone is effective with resolution of primary non-refluxing megaureter in 66% of cases (25/38 insertions).
Conclusions: Ureteric stenting provides an alternative to early surgery in patients with primary non-refluxing megaureter. The youngest patient in our series was 2 months old at the time of endoscopic ureteric double-J stent insertion. Endoscopic placement of ureteric double-J stents should be considered as a first-line treatment in the management of persistent or progressive non-refluxing megaureter leading to progressive hydronephrosis or pyonephrosis.
Department of Paediatric Surgery, Box 267, Addenbrookes Hospital, Hills Rd, Cambridge, CB2 2QQ
|How to cite this article:|
Carroll D, Chandran H, Joshi A, McCarthy LS, Parashar K. Endoscopic placement of double-J ureteric stents in children as a treatment for primary obstructive megaureter.Urol Ann 2010;2:114-118
|How to cite this URL:|
Carroll D, Chandran H, Joshi A, McCarthy LS, Parashar K. Endoscopic placement of double-J ureteric stents in children as a treatment for primary obstructive megaureter. Urol Ann [serial online] 2010 [cited 2020 Jul 12 ];2:114-118
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=3;spage=114;epage=118;aulast=Carroll;type=0