The choice of the optimal method of treatment of adults with microcyst and bilateral megaureter is a very complicated task. The purpose of our work consists in increase of efficiency of operative treatment of patients with microcyst and bilateral megaureter by means of optimization of operative intervention and refusal from multi-stage treatment. We performed a complex one-stage operative treatment of microcyst and bilaterial megaureter in 4 adult patients (2 women and 2 men at the age from 19 till 53 years old).
The basic principle of the method is in its one-stage performance, which consisted of simultaneous excision of 2/3 of a damaged urinary bladder, forming of the ileum an orthopic reservoir for urine, excision of the most pathologically changed lower and 1/2 medium departments of the ureters with their transfer to the intestinal reservoir.
The post-operative treatment in the hospital was (17,8±4,1) days.
The supervision over 2 patients within 1.5 years and 2 patients within 3 and 9 months has confirmed expediency of the chosen treatment management.
The usage of the method of one-stage operative treatment of microcyst and bilateral megaureter allows to restore the reservoir and excretory function of the urinary bladder, and also prevents from chronic renal insufficiency progressing.