Primary Obstructive Mega Ureter (POMU) Treatment in Lucknow

What is Primary Obstructive Mega Ureter (POMU)?

Primary Obstructive Mega Ureter (POMU) is a condition present at birth where one or both ureters are abnormally enlarged due to an obstruction. The term "primary" indicates that the condition is congenital, not caused by external factors or other medical conditions.

Causes of Primary Obstructive Mega Ureter (POMU) :

Functional Obstructionwhen the ureter's muscular wall may not function properly and Anatomical Obstruction when there may be a physical blockage within the ureter.

Symptoms of Primary Obstructive Mega Ureter (POMU)

  • Recurrent Urinary Tract Infections (UTIs)
  • Flank Pain or Abdominal Pain
  • Hydronephrosis
  • Hematuria
  • Dysuria

Diagnosis

Diagnosis typically involves a combination of imaging and functional tests:

  • Ultrasound: To detect dilation of the ureter and hydronephrosis.
  • Voiding Cystourethrogram (VCUG): An X-ray test to visualize the ureter and bladder while the bladder is being emptied.
  • Diuretic Renal Scintigraphy
  • MRI or CT Scan:

Treatment

Treatment options depend on the severity of the obstruction and symptoms:

  • Observation: In mild cases, especially in infants, the condition may resolve on its own as the child grows.
  • Antibiotic Prophylaxis: To prevent UTIs in cases of recurrent infections.
  • Ureteral Reimplantation: Repositioning the ureter to ensure proper urine flow.

Primary Obstructive Mega Ureter is a congenital condition characterized by an enlarged ureter due to an obstruction. While it can cause significant symptoms and complications, early diagnosis and appropriate management can lead to favorable outcomes.a, it is important to consult Dr. Aditya P.S Sengar the best urologist in lucknow for Primary Obstructive Mega Ureter (POMU) treatment.