The Canadian journal of urology · 2025
Teapot ureterocystoplasty in posterior urethral valve and chronic kidney disease: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Ratnayake Geemitha, Jafar Yaqoub, Leslie Bruno, Braga Luis Henrique
Аннотация
BACKGROUND: Bladder augmentation is frequently required to manage poorly compliant, low-capacity bladders resulting from posterior urethral valves (PUV). While traditional enterocystoplasty techniques are limited by complications associated with bowel tissue use, ureterocystoplasty presents a favorable alternative in patients with concurrent megaureter.
METHODS: We describe a novel teapot ureterocystoplasty technique that enhances ureteral vascular preservation by maintaining a 3 cm distal ureteral segment in its detubularized configuration. Postoperative outcomes demonstrated significant improvement, with cystographic bladder capacity increasing from 50 to 180 mL. Renal function stabilized following a transient creatinine elevation to 250 μmol/L.
RESULTS AND CONCLUSION: At a 4.5-year follow-up, the patient continues to do well and has successfully avoided renal transplantation-an outcome commonly required for such pediatric cases.
METHODS: We describe a novel teapot ureterocystoplasty technique that enhances ureteral vascular preservation by maintaining a 3 cm distal ureteral segment in its detubularized configuration. Postoperative outcomes demonstrated significant improvement, with cystographic bladder capacity increasing from 50 to 180 mL. Renal function stabilized following a transient creatinine elevation to 250 μmol/L.
RESULTS AND CONCLUSION: At a 4.5-year follow-up, the patient continues to do well and has successfully avoided renal transplantation-an outcome commonly required for such pediatric cases.