Abstract

Background: To evaluate the incidence, clinical manifestation and management of
duplex moiety in children and also to study the outcome of duplex system in children.
Materials and Methods: Retrospective and prospective study of children who
underwent treatment for duplex moiety in a total of 24 cases for a period of 2 years.
Results: Of the 24 patients included in the study, n= 7 (29.1%) were in the age group of
<1year, n= 10(41.6%) were in the age group of 1-3 year. Right side was involved more
commonly. Upper moiety was more commonly involved in this study. UTI was most
common presentation in this study. Out of 24 cases in this study, 22 cases were managed
surgically and 2 cases managed conservatively. Cystoscopic puncturing of ureterocele
was done in 2 cases of ureterocele in this study (n=2, 8.3%). 2 cases of PUJO were
managed surgically by Anderson hynes dismembered pyeloplasty (n= 2, 8.3%).Out of
22 cases managed surgically from 24 cases, open surgeries were done in 17 cases(n=
17,77.27%) and 3 cases were managed by laparoscopically (n=3, 13.6) and cystoscopy
was done in 2 cases (n= 2, 9.09%). Out of 22 cases managed surgically, in 20 cases
there are no post op complications (n=20), 2 cases had complications(n= 2).
Conclusion: The anatomy and function of the duplex moiety are critical for making
management decisions. In comparison to late identification, early detection of the
duplex moiety and early management had a positive prognosis