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Ureterovesicular junction obstruction (UVJ obstruction) is an obstruction at the level of the ureter and bladder. It accounts for 20% of cases of hydronephrosis detected in utero. It is also most commonly seen in males and involved both sides of the urinary tract in approximately 25% of cases. [1]
In this category the ureters' valvular mechanism is initially intact and healthy but becomes overwhelmed by increased bladder pressures associated with obstruction, which distorts the ureterovesicular junction. The obstructions may be anatomical or functional. Secondary VUR can be further divided into anatomical and functional groups.
Hydronephrosis describes hydrostatic dilation of the renal pelvis and calyces as a result of obstruction to urine flow downstream. Alternatively, hydroureter describes the dilation of the ureter, and hydronephroureter describes the dilation of the entire upper urinary tract (both the renal pelvicalyceal system and the ureter).
Renal colic, also known as ureteric colic, is a type of abdominal pain commonly caused by obstruction of ureter from dislodged kidney stones. The most frequent site of obstruction is the vesico-ureteric junction (VUJ), the narrowest point of the upper urinary tract .
These animals possess an adult kidney derived from the metanephros. [24] The duct that connects the kidney to excrete urine in these animals is the ureter. [24] In placental mammals, it connects to the urinary bladder, whence urine leaves via the urethra. [25] In monotremes, urine flows from the ureters into the cloaca. [26]
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Treatment of the obstruction at the level of the ureter: Open surgery. Less invasive treatment: laparoscopic correction. Minimal invasive treatment: Overtoom procedure: [4] dilatation with cutting balloon catheter followed by introduction of the pyeloplasty balloon catheter. [5]
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