Information

A congenital condition in which the ureters are dilated, folded, and wide, retaining urine and preventing it from draining into the bladder.

Megaureters can be primary, non-refluxing. In this case, treatment consists of conservative antibiotic therapy and monitoring, with surgical reconstructive treatment required if the condition progresses.

In other cases, they are refluxing - urine flows back from the bladder toward the kidneys, and this is combined with frequent urinary tract infections. In these cases, surgical treatment is required, which varies depending on the child's age and the severity of the anomaly.

In premature infants and children up to 1 year of age, when early surgical treatment is needed, we apply less invasive techniques until the child gains weight and grows stronger. Only then do we proceed with the definitive surgical intervention. Magnetic stents are used for urine drainage, which allows them to be removed after a month on an outpatient basis, without a new hospitalization or anesthesia.

The presence of anterior or posterior urethral valves is one of the causes of bilateral refluxing megaureters. The valves are treated endoscopically - a camera is passed through the urethra into the bladder, after which the valves, which are membranes, are incised. This allows the child to urinate, with the urine flowing outward normally, without being retained in the ureters and kidneys.