10.6084/m9.figshare.4330265.v1
Bouty A.
Bouty
A.
Lefevre Y.
Lefevre
Y.
Harper L.
Harper
L.
Tran A.
Tran
A.
Vergnes P.
Vergnes
P.
Dobremez E.
Dobremez
E.
Supplementary Material for: Critical Analysis of a Series of Early Inguinal Ureterostomies: Are They Useful and How Well Are They Tolerated
Karger Publishers
2016
Ureterostomy
Urinary tract infection ·
Vesicoureteral reflux
Megaureter ·
Renal function ·
Neonate
2016-12-14 15:58:34
Dataset
https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Critical_Analysis_of_a_Series_of_Early_Inguinal_Ureterostomies_Are_They_Useful_and_How_Well_Are_They_Tolerated/4330265
<p><b><i>Introduction:</i></b> The study aimed to evaluate the
advantages of temporary inguinal ureterostomy in the management of
neonates with uropathies and early or recurrent pyelonephritis. <b><i>Patients and Methods:</i></b>
We performed a retrospective analysis of all patients who underwent
ureterostomies between 1989 and 2012, with specific regards to
indications and outcomes. We also performed a survey of parents to
evaluate their acceptance of diversion. <b><i>Results:</i></b> We
included 18 patients (12 primary high-grade vesicoureteral reflux [VUR]
and 6 primary obstructive megaureters [MUs]). Indications were recurrent
febrile urinary tract infections (UTIs) despite antibiotic prophylaxis,
doubtful function of the overlying kidney for the oldest cases, when
renal function was only assessed by intravenous urography, or both.
Cutaneous diversion was performed between the ages of 2 weeks to 5
months (median: 1.8 months). Renal function was assessed prior to
undiversion to choose between reimplantation and nephrectomy. The
incidence of febrile UTIs significantly decreased during the period of
diversion. Urinary diversion was judged socially acceptable by parents.
Ureterostomy did not modify the overlying kidney function. <b><i>Conclusion:</i></b>
Temporary inguinal ureterostomy does not enable better evaluation of
renal function by suppressing the pressure of an obstacle or refluxing
urines. Its remaining indication seems to be the prevention of recurrent
UTIs in neonates and infants with VUR or MU, pending reimplantation.</p>