Long-term outcome analysis of Starr plication for primary obstructive megaureters

Peter C. Fretz, James (Christopher) Austin, Christopher S. Cooper, Charles E. Hawtrey

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose: The Starr technique of tapering megaureters was first reported in 1979. Although this method of ureteral plication is well known, to our knowledge there are no clinical studies regarding outcomes. We report the first long-term outcome results with the Starr technique for primary obstructive megaureters. Materials and Methods: Three girls and 10 boys with a total of 16 primary obstructive megaureters (3 bilateral) underwent reimplantation with Starr plication between 1988 and 2000. Baseline and followup renal function (average followup 6.2 years) was determined with renal scan and/or 24-hour urinary creatinine clearance. Average age at operation was 5.6 years (range 2 months to 13 years). All ureters were plicated using the Starr technique with interrupted polydioxanone sutures performed by a single surgeon (CEH). Reimplantation methods were the Hendren technique in 7 and Politano-Leadbetter in 9. Results: No ureter demonstrated obstruction postoperatively. One ureter refluxed, which resolved with subureteral collagen injection. Seven patients had mean preoperative and postoperative creatinine clearance ± SD 72.9 ± 14.8 and 102.1 ± 10.9 cc per minute, respectively (p

Original languageEnglish (US)
Pages (from-to)703-705
Number of pages3
JournalJournal of Urology
Volume172
Issue number2
DOIs
StatePublished - Aug 2004
Externally publishedYes

Fingerprint

Ureter
Replantation
Creatinine
Polydioxanone
Kidney
Sutures
Collagen
Injections

Keywords

  • Hydronephrosis
  • Kidney
  • Ureter
  • Vesico-ureteral reflux

ASJC Scopus subject areas

  • Urology

Cite this

Long-term outcome analysis of Starr plication for primary obstructive megaureters. / Fretz, Peter C.; Austin, James (Christopher); Cooper, Christopher S.; Hawtrey, Charles E.

In: Journal of Urology, Vol. 172, No. 2, 08.2004, p. 703-705.

Research output: Contribution to journalArticle

Fretz, Peter C. ; Austin, James (Christopher) ; Cooper, Christopher S. ; Hawtrey, Charles E. / Long-term outcome analysis of Starr plication for primary obstructive megaureters. In: Journal of Urology. 2004 ; Vol. 172, No. 2. pp. 703-705.
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