case_images: PMC10758897_01
case_images: Schema of partial excisional tapering of a megaureter. (a) The stenotic part indicated by black arrow is completely discarded but the intermediate portion indicated by (*) is left intact, distal to the dashed arrow indicating the point of transection used in conventional methods (b). The ureteral end is transected at a level to create a neo-orifice with a caliber to accommodate a 10Fr tube. (c) The ureter is trimmed only in the proximally redundant portion. (d) The defect is closed over a 10F catheter.
case_images: IJU5-7-22-g002.jpg
case_images: PMC10758897_01_IJU5-7-22-g002.jpg
case_images: iju512658-fig-0001
case_images: Procedure (Figs 1 and 2): Following dissection of the megaureter, the distal ureteral end is transected at a level to create a neo-orifice with a caliber to accommodate a 10Fr tube.
case_images: Case 2. Partial excisional tapering of the left ureter in a 1-year-old boy with refluxing megaureter. (a) After ureteral dissection with a 4Fr feeding tube (gray arrowhead) inserted in the lumen. Dashed line indicates the level of transection for creating neo-orifice. (b) After discarding the distal stenotic portion, redundant ureteral tissue has been excised over a 10 F catheter (black arrowhead). (c) The ureter was tapered over the same 10 F catheter (black arrowhead).
case_images: IJU5-7-22-g001.jpg
case_images: PMC10758897_01_IJU5-7-22-g001.jpg
case_images: iju512658-fig-0002
case_images: Procedure (Figs 1 and 2): Following dissection of the megaureter, the distal ureteral end is transected at a level to create a neo-orifice with a caliber to accommodate a 10Fr tube. Case 3 (Fig. 2).