Diagnosis And Treatment Of Primary Obstructive Megaureter

Objective:Study the character ,diagnosis and therapy of primary obstructive megaureter, to elevate the methods of diagnosis and treatment of primary obstructive megaureter.Methods:The data base record of 35 primary obstructive megaureter patients treated between January 1990 and December 2004 in Uroloral department of West china Hospital and the literature of megaureter was reviewed.35 patient gender,age,clinic presention,loction of lesion,diagnosisi,treatment was ananlysed.Result: Our study 35 sample comprised of 20 men and 15 women,with an average age of 32.6(range 12-66year).17 patients were left megaureter ,11 were right ,and 7 were bilateral.3 were primary ureterovesical junction stricture, 1 was ureterovesical junction atresia,and 31 were functional obstruction of the end ureter. Pain was the most common complaint(60%),5(14.2%)of them first complaint were heama urine ,and 9 of the patient were asymptom .2 patient underwent unilateral ureter and kidney resected ,32 patient underwent ureterovesical reimplantation. And there are 12 patinet follow up result from 4 to 104 month ,average 56month.Renalfunction of 12 patient were stable,and the average diameter reduce form1.76cm to 0.8cm.Conclusion :IVP was the most impotant method to diagnosis primaryobstructive megaureter.Ureter tailor and ureterovesical reimplantation is theeffective treatment to adult patient, but the style of the surgery should bestudied more.