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Abnormal ureter morphology

MedGen UID:
1685655
•Concept ID:
C5139102
•
Anatomical Abnormality
HPO: HP:0025633

Definition

A structural abnormality of the ureter. The ureter is the duct by which urine passes from the kidney to the bladder. [from HPO]

Professional guidelines

PubMed

Sonographic differential diagnosis of duplex kidneys.
Deeg KH
Ultraschall Med 2022 Aug;43(4):332-353. Epub 2022 Apr 29 doi: 10.1055/a-1749-5136. PMID: 35488089
British Association of Paediatric Urologists consensus statement on the management of the primary obstructive megaureter.
Farrugia MK, Hitchcock R, Radford A, Burki T, Robb A, Murphy F; British Association of Paediatric Urologists
J Pediatr Urol 2014 Feb;10(1):26-33. Epub 2013 Oct 16 doi: 10.1016/j.jpurol.2013.09.018. PMID: 24206785
The clinical utility and safety of the endoscopic treatment of vesicoureteral reflux in patients with duplex ureters.
Hensle TW, Reiley EA, Ritch C, Murphy A
J Pediatr Urol 2010 Feb;6(1):15-22. Epub 2009 Jul 21 doi: 10.1016/j.jpurol.2009.05.015. PMID: 19625219

Recent clinical studies

Etiology

Normative values for ureteral diameter in children.
Shashi KK, Lee T, Kurugol S, Garg H, Ghelani SJ, Nelson CP, Chow JS
Pediatr Radiol 2022 Jul;52(8):1492-1499. Epub 2022 Apr 7 doi: 10.1007/s00247-022-05349-z. PMID: 35386015
Ureterolysis for Laparoscopic Hysterectomy.
Jan H, Ghai V
J Minim Invasive Gynecol 2019 Mar-Apr;26(3):401. Epub 2018 Jun 13 doi: 10.1016/j.jmig.2018.05.023. PMID: 29908340
The molecular biology of pelvi-ureteric junction obstruction.
Jackson L, Woodward M, Coward RJ
Pediatr Nephrol 2018 Apr;33(4):553-571. Epub 2017 Mar 13 doi: 10.1007/s00467-017-3629-0. PMID: 28286898Free PMC Article
Dysplastic kidneys.
Winyard P, Chitty LS
Semin Fetal Neonatal Med 2008 Jun;13(3):142-51. Epub 2007 Dec 11 doi: 10.1016/j.siny.2007.10.009. PMID: 18065301
Endopyelotomy review.
Bernardo N, Smith AD
Arch Esp Urol 1999 Jun;52(5):541-8. PMID: 10427896

Diagnosis

Sonographic differential diagnosis of duplex kidneys.
Deeg KH
Ultraschall Med 2022 Aug;43(4):332-353. Epub 2022 Apr 29 doi: 10.1055/a-1749-5136. PMID: 35488089
Ectopic ureterocele.
Society for Maternal-Fetal Medicine, Ghaffari N
Am J Obstet Gynecol 2021 Nov;225(5):B14-B15. Epub 2021 Sep 8 doi: 10.1016/j.ajog.2021.06.041. PMID: 34507796
Duplicated collecting system.
Society for Maternal-Fetal Medicine (SMFM), Hopkins LM
Am J Obstet Gynecol 2021 Nov;225(5):B12-B13. Epub 2021 Sep 8 doi: 10.1016/j.ajog.2021.06.040. PMID: 34507788
Dysplastic kidneys.
Winyard P, Chitty LS
Semin Fetal Neonatal Med 2008 Jun;13(3):142-51. Epub 2007 Dec 11 doi: 10.1016/j.siny.2007.10.009. PMID: 18065301
Ureteral triplication.
Blumberg N
J Pediatr Surg 1976 Aug;11(4):579-80. doi: 10.1016/s0022-3468(76)80017-6. PMID: 966124

Therapy

Open vs robotic infant ureteroureterostomy.
Villanueva CA
J Pediatr Urol 2019 Aug;15(4):390.e1-390.e4. Epub 2019 May 9 doi: 10.1016/j.jpurol.2019.05.003. PMID: 31151858
Interventions for primary vesicoureteric reflux.
Williams G, Hodson EM, Craig JC
Cochrane Database Syst Rev 2019 Feb 20;2(2):CD001532. doi: 10.1002/14651858.CD001532.pub5. PMID: 30784039Free PMC Article
Ureterolysis for Laparoscopic Hysterectomy.
Jan H, Ghai V
J Minim Invasive Gynecol 2019 Mar-Apr;26(3):401. Epub 2018 Jun 13 doi: 10.1016/j.jmig.2018.05.023. PMID: 29908340
Interventions for primary vesicoureteric reflux.
Nagler EV, Williams G, Hodson EM, Craig JC
Cochrane Database Syst Rev 2011 Jun 15;(6):CD001532. doi: 10.1002/14651858.CD001532.pub4. PMID: 21678334
Ureterocele.
Shaw RE
Br J Surg 1973 May;60(5):337-42. doi: 10.1002/bjs.1800600502. PMID: 4706476

Prognosis

Ectopic ureterocele.
Society for Maternal-Fetal Medicine, Ghaffari N
Am J Obstet Gynecol 2021 Nov;225(5):B14-B15. Epub 2021 Sep 8 doi: 10.1016/j.ajog.2021.06.041. PMID: 34507796
Sonographic Evaluation for Endometriosis in Routine Pelvic Ultrasound.
Piessens S, Edwards A
J Minim Invasive Gynecol 2020 Feb;27(2):265-266. Epub 2019 Sep 4 doi: 10.1016/j.jmig.2019.08.027. PMID: 31493569
Ureterolysis for Laparoscopic Hysterectomy.
Jan H, Ghai V
J Minim Invasive Gynecol 2019 Mar-Apr;26(3):401. Epub 2018 Jun 13 doi: 10.1016/j.jmig.2018.05.023. PMID: 29908340
Congenital and Acquired Disorders of Ureteral Course.
Reisner DC, Elgethun MT, Heller MT, Klepchick PR, Hartman MS
Curr Probl Diagn Radiol 2017 Mar-Apr;46(2):151-160. Epub 2016 Apr 14 doi: 10.1067/j.cpradiol.2016.04.002. PMID: 27207823
Dysplastic kidneys.
Winyard P, Chitty LS
Semin Fetal Neonatal Med 2008 Jun;13(3):142-51. Epub 2007 Dec 11 doi: 10.1016/j.siny.2007.10.009. PMID: 18065301

Clinical prediction guides

The term CAKUT has outlived its usefulness: the case for the prosecution.
Woolf AS
Pediatr Nephrol 2022 Nov;37(11):2785-2791. Epub 2022 May 16 doi: 10.1007/s00467-022-05576-4. PMID: 35575937Free PMC Article
Sonographic Evaluation for Endometriosis in Routine Pelvic Ultrasound.
Piessens S, Edwards A
J Minim Invasive Gynecol 2020 Feb;27(2):265-266. Epub 2019 Sep 4 doi: 10.1016/j.jmig.2019.08.027. PMID: 31493569
Dysplastic kidneys.
Winyard P, Chitty LS
Semin Fetal Neonatal Med 2008 Jun;13(3):142-51. Epub 2007 Dec 11 doi: 10.1016/j.siny.2007.10.009. PMID: 18065301
Cerebro-costo-mandibular syndrome.
Plötz FB, van Essen AJ, Bosschaart AN, Bos AP
Am J Med Genet 1996 Mar 29;62(3):286-92. doi: 10.1002/(SICI)1096-8628(19960329)62:3<286::AID-AJMG16>3.0.CO;2-G. PMID: 8882789
Reflux uropathy.
Woodard JR, Rushton HG
Pediatr Clin North Am 1987 Oct;34(5):1349-64. doi: 10.1016/s0031-3955(16)36335-0. PMID: 3309852

Recent systematic reviews

Prenatal imaging features and postnatal outcomes of isolated fetal duplex renal collecting system: A systematic review and meta-analysis.
Bascietto F, Khalil A, Rizzo G, Makatsariya A, Buca D, Silvi C, Ucci M, Liberati M, Familiari A, D'Antonio F
Prenat Diagn 2020 Mar;40(4):424-431. Epub 2020 Jan 28 doi: 10.1002/pd.5622. PMID: 31834636
Interventions for primary vesicoureteric reflux.
Williams G, Hodson EM, Craig JC
Cochrane Database Syst Rev 2019 Feb 20;2(2):CD001532. doi: 10.1002/14651858.CD001532.pub5. PMID: 30784039Free PMC Article
Interventions for primary vesicoureteric reflux.
Nagler EV, Williams G, Hodson EM, Craig JC
Cochrane Database Syst Rev 2011 Jun 15;(6):CD001532. doi: 10.1002/14651858.CD001532.pub4. PMID: 21678334
Interventions for primary vesicoureteric reflux.
Hodson EM, Wheeler DM, Vimalchandra D, Smith GH, Craig JC
Cochrane Database Syst Rev 2007 Jul 18;(3):CD001532. doi: 10.1002/14651858.CD001532.pub3. PMID: 17636679
Interventions for primary vesicoureteric reflux.
Wheeler DM, Vimalachandra D, Hodson EM, Roy LP, Smith GH, Craig JC
Cochrane Database Syst Rev 2004;(3):CD001532. doi: 10.1002/14651858.CD001532.pub2. PMID: 15266449

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