Multilevel congenital ureteral obstruction in a two-year-old child: Staged reconstruction with neo-implantation and V-Y pyeloplasty.

Gede Wirya Kusuma Duarsa, Made Bagus Ari Pandita, Desak Agung Istri Padma Putri, Ronald Sugianto

Abstract readCase Reports

In one paragraph

Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gede Wirya Kusuma DuarsaDepartment of Urology, Faculty of Medicine, Universitas Udayana, Prof IGNG Ngoerah General Hospital, Denpasar, Indonesia.

Made Bagus Ari PanditaDepartment of Surgery, Faculty of Medicine, Universitas Udayana, Prof IGNG Ngoerah General Hospital, Denpasar, Indonesia.

Desak Agung Istri Padma PutriMedical Doctor Study Program, Faculty of Medicine, Universitas Udayana, Prof IGNG Ngoerah General Hospital, Denpasar, Indonesia.

Ronald SugiantoDepartment of Urology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multilevel congenital ureteral obstruction involving the ureteropelvic junction (UPJ) and ureterovesical junction (UVJ) is exceedingly rare condition in pediatric urology and may cause progressive hydronephrosis and renal impairment if untreated. We report a two-year-old boy with antenatally detected right-sided hydronephrosis caused by obstruction involving the UPJ, mid-ureter, and UVJ, previously managed with nephrostomy. Magnetic resonance urography demonstrated massive hydronephrosis and delayed renal excretion. The reconstructive surgery using non-dismembered V-Y pyeloplasty and ureteral neo-implantation with double-J stenting successfully restored urinary continuity and preserved renal function. This staged, anatomy-based strategy appears safe and effective for multilevel congenital ureteral obstruction.

Indexed as

Congenital ureteral anomaliesPediatric hydronephrosisUreteral reimplantationUreteropelvic junction obstructionUreterovesical junction obstruction

Identifiers

PMID41696015

DOI10.1016/j.eucr.2026.103358

PMCPMC12906102

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.