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September 1970

Ureteropyelostomy for Relief of Single Ureteral Obstruction in Cases of Ureteral Duplication

Author Affiliations

San Francisco, Calif
From the Department of Urology, The Permanente Medical Group, Kaiser Foundation Hospital, Walnut Creek, Calif, and the Division of Urology, University of California Medical Center, San Francisco.

Arch Surg. 1970;101(3):379-381. doi:10.1001/archsurg.1970.01340270027007

In three patients with completely duplicated ureters, one obstructed and one patent, good drainage was obtained by anastomosing the two ureters above the site of obstruction. The obstructed ureter was not removed. Pyelopyelostomy has been used for the treatment of urinary incontinence associated with ureteral ectopia, and for ectopia itself; and for reflux in only one of two duplicated ureters. This appears to be the first report of its application to the relief of obstruction in one of two duplicate ureters. The experience described appears to indicate that such obstruction can be relieved by this procedure, provided one of two completely duplicated ureters is patent distal to the point of anastomosis.