OBJECTIVE: To report on the use of extravesical detrusorraphy for megaureter repair. PATIENTS AND METHODS: Twenty-three children underwent an extravesical megaureter repair over a 25 month period. There were 17 boys and 6 girls with an average age of 4.4 years. Three children had bilateral megaureters for a total of 26 repairs. Ureters were defined as megaureters if the ureteric diameter exceeded 1.0 cm on pre-operative imaging. There were 14 obstructing and 12 refluxing ureters. Three of the refluxing ureters were tapered while five of the obstructing megaureters were tapered. RESULTS: Twenty-one of the 23 patients were successfully repaired using this method. Complications were minimal. CONCLUSION: The extravesical approach can be used to correct reflux or obstruction in dilated ureters with efficacy equivalent to transvesical repairs.
OBJECTIVE: To report on the use of extravesical detrusorraphy for megaureter repair. PATIENTS AND METHODS: Twenty-three children underwent an extravesical megaureter repair over a 25 month period. There were 17 boys and 6 girls with an average age of 4.4 years. Three children had bilateral megaureters for a total of 26 repairs. Ureters were defined as megaureters if the ureteric diameter exceeded 1.0 cm on pre-operative imaging. There were 14 obstructing and 12 refluxing ureters. Three of the refluxing ureters were tapered while five of the obstructing megaureters were tapered. RESULTS: Twenty-one of the 23 patients were successfully repaired using this method. Complications were minimal. CONCLUSION: The extravesical approach can be used to correct reflux or obstruction in dilated ureters with efficacy equivalent to transvesical repairs.