PURPOSE: @entity1 with a history of surgical correction of vesicoureteral reflux warrant surveillance for long-term complications. However, there are little data on long-term outcome, based mainly on small series and insufficient followup. Close followup is particularly indicated during pregnancy since these @entity1 tend to have a dilated collecting system and frequent @entity293 . As part of a long-term postoperative assessment of @entity1 who underwent ureteral reimplantations in childhood, we focused on late pregnancy related obstructive dilatation associated with @entity177 . MATERIALS AND METHODS: Between 1970 and 1979, 322 @entity1 underwent ureteral reimplantation at our institution. A comprehensive retrospective study done to evaluate the long-term postoperative outcome, detected 2 cases of late gestational @entity1695 . Subsequently 2 additional cases were identified elsewhere. RESULTS: All 4 @entity1 underwent successful Politano-Leadbetter ureteral reimplantation at ages 4 to 12 years. They presented during pregnancy 17 to 22 years postoperatively with progressive hydroureteronephrosis and @entity177 , which required urinary drainage by percutaneous nephrostomies. Antegrade studies performed during pregnancy and in the early post-delivery period revealed severe obstruction of the distal ureters, which gradually subsided. CONCLUSIONS: @entity1695 during pregnancy, in @entity1 who previously underwent Politano-Leadbetter ureteral reimplantation, may be @entity13415 and is likely to be a transient phenomenon. Awareness of this late and rare complication may enable us to detect this situation early, provide temporary adequate urinary drainage and prevent unnecessary surgical procedures.

Late post-reimplantation XXXX during pregnancy: a transient phenomenon?

@entity1 :: ('9606', 'Species') :: ['women', 'children', 'Patients', 'patients'] @entity1695 :: ('MESH:D014517', 'Disease') :: ['Ureteral obstruction', 'ureteral obstruction'] @entity13415 :: ('MESH:D020969', 'Disease') :: ['attributed to high reimplantation syndrome'] @entity177 :: ('MESH:D051437', 'Disease') :: ['renal failure'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infections']
@entity1695 :: (MESH:D014517,Disease) :: ['ureteral obstruction']
