'Mini reimplantation' for the management of primary obstructed megaureter

The author feels that the reported technique is superior to the refluxing reimplantation, as there is no need for re-operation. The limitations of this study were the small numbers and short follow-up. However, the proposed 'mini reimplantation' with no tapering or advancement had good success rates in this small series. Further larger studies are required to support or negate the usefulness of this technique.187Figure. (a) Distal POM excised; (b) detrusor closed behind; (c) the ureter reimplanted; (d) mucosa closed over.