Search

Over a series of 158 cases of anorectal manometry the authors describe the technique used in a general pediatric surgery department. Results are reported in Hirschsprung's disease specially in the neonatal period, chronic constipation, fecal incontinence after anorectal malformations and meningomyelocele, encopresis. Biofeedback was performed in 28 patients. Technique varies with the etiologies and results are reported. Anorectal manometry to be effective must be simple, reliable, safe and non invasive. The reported technique seems effective for this goal.

Out of series of 95 ureteroceles in a 15 years period, 17 cases have been treated by simplified method, either endoscopic (7 cases) or polar nephrectomy alone (9 cases). Endoscopic incision alone can be used. In neonates with ureterocele simplex (4 cases cured with no secondary reflux). To assess upper pole function in ureterocele duplex (followed by reconstruction or nephrectomy). To drain some very difficult cases (bilateral, infected). In our experience, the upper heminephrectomy alone as a simplified approach of this pathology has failed in the vast majority of cases, leading to a secondary intervention to cure the intra vesical pathology. It is our opinion that this approach must be restrained to the cases of intra cervical or intra ureteral, the secondary pathology will almost lead to a secondary trans vesical approach with is neither more difficult nor easier that a primary one. Herein is described the present position of the authors concerning rare indication of these simplified approach.