Although all patients have hydronephrosis, the degree of renal dysplasia is variable and has important prognostic implications. Those with the most severe renal dysplasia develop the Potter sequence (Plate 2-8)…
The goals of surgical intervention include relief of obstruction, infection, and reflux. The standard options include endoscopic incision of the ureterocele, as well as various open or laparoscopic procedures, such…
If a ureterocele is not diagnosed using prenatal ultrasound, it may become apparent during infancy. The most common presentation is a urinary tract infection, which results from urinary stasis in…
An ectopic ureter may initially be seen on ultrasound, either with or without associated renal (hypo)dysplasia. If there is ureteral obstruction, hydroureteronephrosis will be seen. If an ectopic ureter is…
The blind-ending ureteral branch typically terminates adjacent to the distal or middle section of the normal branch. It contains all of the normal layers of the ureteral wall, and it…
A majority of the children with high-grade primary reflux (grades IV and V) will not experience spontaneous resolution, and thus surgical treatment may be offered to lower the risk of…
The upper-pole collecting system tends to serve about one third of the renal parenchyma. The upper pole ureter generally has a long course within the bladder wall, frequently has an…
Of note, VUR also appears to be associated with a variable degree of renal dysplasia that is unrelated to infection. Indeed, both VUR and renal dysplasia could be expected to…
TREATMENT If intervention is needed, the ureter can be reconstructed by performing an open or laparoscopic ureteroureterostomy. Regardless of the modality, the basic steps of the procedure are the same….
During the sixth to eighth weeks of development, the IVC forms through the selective fusion and degeneration of these embryonic vessels. The sacrocardinal veins give rise to the common iliac…
