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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

Department of Paediatric Urology, Birmingham Children's Hospital NHS Trust, Steelhouse Lane, Birmingham, United Kingdom

Correspondence Address:
Daniel Carroll
Department of Paediatric Surgery, Box 267, Addenbrookes Hospital, Hills Rd, Cambridge, CB2 2QQ
United Kingdom
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DOI: 10.4103/0974-7796.68860

PMID: 20981199

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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.

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