Antibiotics should be instituted during the initial diagnostic evaluation and during surgical intervention.
Pts with upper pole renal function of <10%, an unobstructed inferior kidney or VUR ≤Grade III, and no bladder neck obstruction could require no surgical therapy.
Endoscopic incision or puncture
Upper pole heminephrectomy with no lower tract reconstruction: - in patients with ureteroceles who have a non-functioning upper segment and low-grade or no VUR
Upper pole heminephrectomy with lower tract reconstruction (combined approach): - in patients who clearly have no function of the upper pole system but high-grade reﬂux in the ipsilateral lower pole ureter or contralateral ureter
Ureteroureterostomy +/-reimplant combined
| 3. Mastering the treatment of obstructive uropathy