Scientific Unit for Clinical and Medical Research, Osijek University Hospital
Abstract
Retrospektivnom studijom obrađena su sva djeca s megaureterom koja su operirana na Odjelu za urologiju u Osijeku, u vremenskom razdoblju od 1973. do 1989. godine. U tom vremenskom periodu ukupno smo operirali 53 djece, s ukupno 64 megauretera, obzirom da je u njih 12 megaureter bio obostran, a u njih 10 dupli kanalni sistem s jedne strane. U obradi naših bolesnika posebno su nas interesirali operativni zahvati koje smo u te djece učinili, te rane komplikacije ovih kompleksnih zahvata. Osim navedenog, nešto detaljnije smo raspravljali o etiologiji megauretera te o ultrastrukturi anatomske građe megauretera. Rezultate naše studije prikazali smo na 7 tablica, uz određeni komentar. Naš zaključak je da megaureter još uvijek predstavlja problem u dječjoj urologiji. Najbolji rezultati ovih složenih operacija se postižu u pravilu kada se kao prvi zahvat izvodi modelaža donje trećine megauretera.A retrospective study was performed including all the children with megaureter operated at the Department of Urology of the General Hospital Osijek in the period from 1973 to 1989. In this period 53 children with 64 megaureters were operated. In 12 cases megaureter was bilateral, whereas 10 patient had double urinary system on one side. We have been especially interested in complex operative procedures applied and in their early complications. In addition, the etiology and the anatomic ultrastructure of megaureters are discussed in detail. The results of our study are presented in 7 tables, with a comment. We believe that megaureter still presents a problem in child urology. The best results are achieved when the first operation consists in modelling of the lower third of megaureter
