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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

Re. 'BAPU consensus statement on the management of the primary obstructive megaureter'.
Chedgy EC
J Pediatr Urol 2014 Aug;10(4):787. Epub 2014 May 9 doi: 10.1016/j.jpurol.2014.03.009. PMID: 24857285
Primary megaureter: current trends in diagnosis and treatment.
Shokeir AA, Nijman RJ
BJU Int 2000 Nov;86(7):861-8. doi: 10.1046/j.1464-410x.2000.00922.x. PMID: 11069415
Diagnosis and treatment of retrocaval ureter.
Zhang XD, Hou SK, Zhu JH, Wang XF, Meng GD, Qu XK
Eur Urol 1990;18(3):207-10. doi: 10.1159/000463911. PMID: 2261934

Recent clinical studies

Etiology

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
Idiopathic hemihypertrophy.
Mohanna MA, Sallam AK
Saudi Med J 2014 Apr;35(4):403-5. PMID: 24749139
Endopyelotomy review.
Bernardo N, Smith AD
Arch Esp Urol 1999 Jun;52(5):541-8. PMID: 10427896
Ureterocystoplasty update.
Bellinger MF
World J Urol 1998;16(4):251-4. doi: 10.1007/s003450050062. PMID: 9775423
Genitourinary trauma in children.
Livne PM, Gonzales ET Jr
Urol Clin North Am 1985 Feb;12(1):53-65. PMID: 3883625

Diagnosis

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
The "Nubbin" Sign.
Thotakura P, Dyer RB
Abdom Radiol (NY) 2016 Feb;41(2):340-1. doi: 10.1007/s00261-015-0554-1. PMID: 26867919
Congenital anatomic variants of the kidney and ureter: a pictorial essay.
Srinivas MR, Adarsh KM, Jeeson R, Ashwini C, Nagaraj BR
Jpn J Radiol 2016 Mar;34(3):181-93. Epub 2016 Jan 8 doi: 10.1007/s11604-015-0514-2. PMID: 26747433
Congenital megaureter.
Lockhart JL, Singer AM, Glenn JF
J Urol 1979 Sep;122(3):310-4. doi: 10.1016/s0022-5347(17)56380-6. PMID: 470000

Therapy

Primary vesicoureteral reflux; what have we learnt from the recently published randomized, controlled trials?
Garin EH
Pediatr Nephrol 2019 Sep;34(9):1513-1519. Epub 2018 Aug 21 doi: 10.1007/s00467-018-4045-9. PMID: 30132079
Duplicated Ureters in Transplantation-A Single-center, Retrospective Study.
Surowiecka-Pastewka A, Matejak-Górska M, Frączek M, Durlik M
Transplant Proc 2018 Jul-Aug;50(6):1662-1668. Epub 2018 Mar 13 doi: 10.1016/j.transproceed.2018.02.103. PMID: 30056878
Surgical anatomy of the ureter.
Fröber R
BJU Int 2007 Oct;100(4):949-65. doi: 10.1111/j.1464-410X.2007.07207.x. PMID: 17822477
Ureterocele.
Shaw RE
Br J Surg 1973 May;60(5):337-42. doi: 10.1002/bjs.1800600502. PMID: 4706476
Ureteric obstruction.
Hadfield GJ
Ann R Coll Surg Engl 1972 Jan;50(1):45-53. PMID: 5062021Free PMC Article

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
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
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
Congenital megalourethra.
Wakhlu AK, Wakhlu A, Tandon RK, Kureel SN
J Pediatr Surg 1996 Mar;31(3):441-3. doi: 10.1016/s0022-3468(96)90758-7. PMID: 8708923
Congenital megaureter.
Lockhart JL, Singer AM, Glenn JF
J Urol 1979 Sep;122(3):310-4. doi: 10.1016/s0022-5347(17)56380-6. PMID: 470000

Clinical prediction guides

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
Pacemakers in the upper urinary tract.
Di Benedetto A, Arena S, Nicotina PA, Mucciardi G, Galì A, Magno C
Neurourol Urodyn 2013 Apr;32(4):349-53. Epub 2012 Sep 21 doi: 10.1002/nau.22310. PMID: 23002060
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
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
Ureterocalicostomy.
Kay R
Urol Clin North Am 1988 Feb;15(1):129-33. PMID: 3344557

Recent systematic reviews

Duplex Kidney in Adults: a Systematic Review of the Literature.
Alsaikhan B, Abugamza F, Almuhanna A, Bakarmom M, Alhussaini S, Hajek D
Curr Urol Rep 2023 Dec;24(12):591-600. Epub 2023 Nov 9 doi: 10.1007/s11934-023-01190-5. PMID: 37943428
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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