{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T21:41:58Z","timestamp":1778708518189,"version":"3.51.4"},"reference-count":25,"publisher":"Scientific Scholar","content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:p>Ventriculo-ureteral (VU) shunting is a little-known method of managing hydrocephalus. This paper reviews contemporary uses of this shunting technique and describes its historical significance to the field of organ transplantation. The ureter may serve as a possible backup, or alternative, distal drainage site compared to the more common peritoneum, atrium, and pleural space. Sporadic contemporary uses of the VU shunt have been reported in unique situations, demonstrating a possible utility in modern neurosurgery. Interestingly, the VU shunt played an important role in the development of kidney transplantation. In the late 1940s and early 1950s, David Hume, a general surgery resident, and colleagues at the PBBH undertook a series of human kidney transplantations. Concurrently, Donald Matson, a pediatric neurosurgeon at Peter Bent Brigham, was utilizing the VU shunt in hydrocephalic patients. Dr. Matson\u2019s VU shunt technique involved total nephrectomy, and some of the kidneys harvested from Dr. Matson\u2019s were used by his general surgery colleagues in their transplantation trials. Although none of the transplanted kidneys from this series were successful, the transplant team in Boston, minus David Hume, went on to perform the world\u2019s first kidney transplant a few years later. This relatively unfamiliar procedure may be applicable to specific situations, and it is of historical importance to the field of transplantation.<\/jats:p>","DOI":"10.25259\/jnrp_68_2022","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T11:18:44Z","timestamp":1677151124000},"page":"210-213","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ventriculoureteral shunt: Narrative review of contemporary cases and its historical role in the development of renal transplantation"],"prefix":"10.25259","volume":"14","author":[{"given":"Andrew Leland","family":"Waack","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, University of Toledo, Toledo, Ohio, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alastair T.","family":"Hoyt","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, University of Toledo, Toledo, Ohio, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason L.","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, University of Toledo, Toledo, Ohio, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"key":"10.25259\/JNRP_68_2022\/ref-1","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1159\/000028814","article-title":"Surgical treatment of hydrocephalus: A historical perspective","volume":"30","author":"Rachel","year":"1999","journal-title":"Pediatr Neurosurg"},{"key":"10.25259\/JNRP_68_2022\/ref-2","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.inat.2018.04.004","article-title":"Ventriculoperitoneal shunt complications: A review","volume":"13","author":"Paff","year":"2018","journal-title":"Interdiscip 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