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KMID : 1218220100020010050
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Korean Journal of Pediatric Urology
2010 Volume.2 No. 1 p.50 ~ p.53
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Endoscopic Dilatation for Treatment of Primary Obstructive Megaureter
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Kim Sun-Ouck
Kwon Dong-Deuk
Ryu Soo-Bang
Kim Young-Jung
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Abstract
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Primary obstructive megaureter (POM) without vesicoureteral reflux has usually been managed by open surgery with ureteral reimplantation. Open surgery is technically demanding and it is associated with significant morbidity, prolonged hospitalization and a lengthy recovery period. Endoscopic treatments have emerged as minimally invasive procedures for the treatment of ureteropelvic junction obstruction and ureteral stricture with low morbidity. There are not many reports on endoscopically treating congenital obstructive megaureter. A 12 year old girl presented with a history of recurrent urinary tract infections and intermittent pain, and she was diagnosed with POM. Endoscopic management of POM by balloon dilatation has yielded equivocal results in the short term. Longer (25 months) follow-up enabled us to determine that this approach could be an alternative treatment for POM. We present here a patient with POM and who was treated endoscopically with balloon dilatation of the distal ureter.
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KEYWORD
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Megaureter, Obstructive, Dilation, Balloon
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