Combined Minimally Invasive Treatment of Pyeloureteral Junction Obstruction and Primary Obstructive Megaureter in Children

Case Report and Literature Review

Bibliographic Data

ID15713524
AuthorsDonatella Di Fabrizio (0000-0002-7629-7782, Pediatric Surgery Unit, Salesi Children’s Hospital, 60123 Ancona, Italy, corresponding author), Irene Tavolario (Pediatric Surgery Unit, Salesi Children’s Hospital, 60123 Ancona, Italy), Lorenzo Rossi (0000-0001-6051-3260, Pediatric Surgery Unit, Salesi Children’s Hospital, 60123 Ancona, Italy), Fabiano Nino (0000-0001-9051-0765, Pediatric Surgery Unit, Salesi Children’s Hospital, 60123 Ancona, Italy), Edoardo Bindi (0000-0001-5412-7267, Marche Polytechnic University), Giovanni Cobellis (0000-0002-5683-2610, Marche Polytechnic University)
Year2024
Volume11
Issue4
Pages407-407
Publication date2024-03-29
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children11040407
PMID38671628
OpenAlexW4393352514
LanguageEN
Citations received2
References cited23

The simultaneous occurrence of UPJO and UVJO is rare, with a challenging diagnosis. Prompt identification and timely surgical intervention are crucial to mitigate the risk of renal function loss attributable to obstruction and infection. Drawing from our expertise and the analysis of the existing literature, we propose employing a simultaneous double minimally invasive strategy in order to optimize the preservation of ureteral vascularity. This approach entails performing a minimally invasive pyeloplasty for the PUJ and utilizing high-pressure balloon dilatation for the UVJ

Megaureter · Primary treatment · Ureter · Congenital gastrointestinal and neural anomalies · Medicine · Pediatric Urology and Nephrology Studies · Urological Disorders and Treatments · Surgery

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