Open Access

CASE REPORT

Teapot ureterocystoplasty in posterior urethral valve and chronic kidney disease: a case report

Geemitha Ratnayake^*, Yaqoub Jafar, Bruno Leslie, Luis Henrique Braga^*

Department of Surgery, Division of Urology, McMaster University, Hamilton, ON L8S 4L8, Canada

* Corresponding Authors: Geemitha Ratnayake. Email: ; Luis Henrique Braga. Email:

Canadian Journal of Urology 2025, 32(3), 209-212. https://doi.org/10.32604/cju.2025.064122

Received 06 February 2025; Accepted 15 May 2025; Issue published 27 June 2025

Abstract

Background: Bladder augmentation is frequently required to manage poorly compliant, low-capacity bladders resulting from posterior urethral valves (PUV). While traditional enterocystoplasty techniques are limited by complications associated with bowel tissue use, ureterocystoplasty presents a favorable alternative in patients with concurrent megaureter. Methods: We describe a novel teapot ureterocystoplasty technique that enhances ureteral vascular preservation by maintaining a 3 cm distal ureteral segment in its detubularized configuration. Postoperative outcomes demonstrated significant improvement, with cystographic bladder capacity increasing from 50 to 180 mL. Renal function stabilized following a transient creatinine elevation to 250 μmol/L. Result and Conclusion: At a 4.5-year follow-up, the patient continues to do well and has successfully avoided renal transplantation—an outcome commonly required for such pediatric cases.

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Keywords

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Supplementary Material

Supplementary Material File

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