Chalouhy E, Harran R, Ezzo G
Service d'Urologie, Hôtel-Dieu de France, Beyrouth, Liban.
J Med Liban. 1992;40(1):16-21.
This study is a complete review of the common complications related to incomplete ureteral duplication, and based on three clinical cases. These complications include: Recurrent urinary tract infections with pyelonephritis; non functioning of one or both kidney units; Urinary lithiasis and the uretero-ureteral reflux secondary to retrograde ureteral peristalsis. Finally, the surgical treatment of the uretero-ureteral reflux depends on the clinical and radiological symptoms of the patients. Heminephrectomy in case of a non functioning renal segment. Excision of one ureteral segment converting an incomplete ureteral duplication into a bifid pelvis. Conversion of an incomplete duplication into a complete ureteral duplication if the common segment is near the bladder. Nephroureterectomy should be considered in case of non functioning kidney with type IV vesico-ureteral reflux.
本研究是基于三个临床病例对不完全性输尿管重复相关常见并发症的全面综述。这些并发症包括：复发性肾盂肾炎导致的尿路感染；一个或两个肾单位无功能；尿路结石以及逆行输尿管蠕动继发的输尿管-输尿管反流。最后，输尿管-输尿管反流的手术治疗取决于患者的临床和影像学症状。对于无功能的肾段行半肾切除术。切除一个输尿管段，将不完全性输尿管重复转变为双肾盂。如果共同段靠近膀胱，则将不完全性重复转变为完全性输尿管重复。对于伴有IV型膀胱输尿管反流的无功能肾，应考虑行肾输尿管切除术。
