How is a megaureter treated?
Our multidisciplinary program specializing in congenital anomalies of the kidney and urinary tract (CAKUT) closely monitors babies with megaureter to reduce the risk of UTI and ensure their kidney function is not affected.
Some children may take daily preventative antibiotics and have repeated bladder ultrasounds to monitor the condition. In many cases, the megaureter may improve on its own.
If kidney function is impaired or your child experiences recurrent UTIs, we may need to perform surgery. We use two main types of surgery to treat a megaureter:
- Cutaneous distal ureterostomy: This may be necessary in a newborn with a very enlarged ureter or poor kidney function. A surgeon moves the ureter to the surface of the skin to allow it to drain urine outside the body (where it’s caught in a diaper). This allows the affected kidney and ureter to decompress. Around 18 months of age, the ureter is then reimplanted into the bladder.
- Ureteral reimplantation: This surgical procedure involves removing the abnormal section of the ureter and reconnecting the two remaining ends. In some cases, the ureter is tailored to allow for creation of an anti-reflux valve.
Why choose us for megaureter treatment?
Our Colorado Fetal Care Center allows us to form an early diagnosis and plan for postnatal management. In conjunction with our CAKUT program, we offer a seamless transition from prenatal diagnosis to postnatal care, with the same providers being involved in both prenatal and postnatal care. Additionally, our multidisciplinary approach focuses on prevention through a comprehensive evaluation of your child’s health beyond their kidney and urologic issues, allowing us to provide care throughout infancy, childhood, and adolescence.