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Participants were divided into two groups: PR (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914) and CU (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914). Comprehensive preoperative assessments, including renal ultrasound, voiding cystourethrography, and radionuclide diuretic renal scans, were performed. Surgical indications were based on recurrent UTIs, impaired renal function, or progressive hydronephrosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant difference in hydroureteronephrosis grade (SFU) was observed between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In the PR group, two children required additional surgeries due to recurrent UTIs. Similarly, in the CU group, two children underwent subsequent ureteral reimplantation. The mean age at primary surgery was 6.9\u00a0months for the PR group, compared to 4\u00a0months for ureterostomy in the CU group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The average operation time was 110.5\u00a0min for PR, vs. 64\u00a0min for CU (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Overall, more complications occurred in the group of children with CU until a definitive repair was performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both primary ureteral reimplantation and the two-stage approach with cutaneous ureterostomy followed by reimplantation demonstrated effective outcomes in managing POM and VUR in infants. Given the findings, primary ureteral reimplantation may be considered a safe and effective approach in infants under 1 year with these conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-025-06220-6","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T08:00:38Z","timestamp":1760601638000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparative outcomes of primary ureteral reimplantation vs. staged cutaneous ureterostomy in infants under one with primary obstructive megaureters and vesicoureteral reflux: a multi-center analysis"],"prefix":"10.1007","volume":"41","author":[{"given":"Moayad","family":"Beibooh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawdat","family":"Jaber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galiya","family":"Raisin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Chertin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanislav","family":"Kocherov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Chertin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"6220_CR1","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1016\/j.jpurol.2014.10.002","volume":"10","author":"HT Nguyen","year":"2014","unstructured":"Nguyen HT, Benson CB, Bromley B, Campbell JB, Chow J, Coleman B et al (2014) Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system). 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