Childhood nephrectomy indications: a changing profile.

Aim: To assess the changing profile of children's nephrectomy indications in the south of Tunisia during the last two decades.

Methods: There were 94 children who underwent nephrectomy between 1982 and 2007. They were classified into two groups.

[Mitrofanoff continent urinary diversions: The opinion of 57 patients].

Objective: To evaluate the psychological repercussions and degree of adaptation in daily living of patients with a Mitrofanoff continent external urinary diversion.

Patients And Method: Fifty seven patients were questioned about their Mitrofanoff continent urinary diversions, using a questionnaire translated into their spoken language (Arabic).

Results: The mean age was 29 years (range: 10 to 72 years).

[Appendiculoureteroplasty: about 6 cases].

Objective: Through this work we want to specify the place of ureteroappendiculoplasty as an important technical procedure for ureteral substitution.

Material And Methods: Between January 1997 and September 2002, 6 patients had an appendiculoureteroplasty.

Results: four women and two men with a mean age of 37 years (range 12 to 55 years) had a lesion of the right ureter.