Dismembered pyeloplasty for ureteropelvic junction syndrome treatment in children

Moreira-Pinto, João; Osório, Angélica; Vila, F.; Castro, João; Reis, Armando

doi:10.4103/0189-6725.99392

Cited by 3 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This represents the ability of the kidney to increase the glomerular filtration rate (GFR) [2]. In the present study, preoperative mean of split glomerular filtration rate (GFR) increased from 25. reported that improved renal function in 89%, stable in 7%, and deterioration in 4% of patients which was comparable to this study [12].…”

Section: Discussionsupporting

confidence: 90%

Outcome of Open Pyeloplasty on Ipsilateral Renal Function

Rahman¹,

Islam

Chowdhury

et al. 2020

Bang J Urology

View full text Add to dashboard Cite

Objective: The objective of this study is to determine the ipsilateral renal function after open pyeloplasty. Patients and methods: The study comprises 50 patients with ultrasonographically and urographically demonstrated hydronephrosis and primary pelvi-ureteric junction obstruction for reconstructive surgical treatment at urology department of Bangabandhu Sheikh Mujib Medical University Hospital between January 2012 and September 2013. Anderson- Hynes pyeloplasties were performed in 50 patients. Data were collected by interview, review of records and documents in data collection sheet. Data were analyzed by using paired t-test. Level of significance was set at 5%(P<0.05). Statistical analysis done by SPSS (SPSS Inc. Chicago, IL, USA), version 16.0.0. Results: The male and female ratio was1: 0.33. Mean age of the patients was 7.35 years. Left and right side ratio was 1.5: 1. The mean ± SD of pre operative cortical thickness was 3.67 ± 0.91 and post operative thickness after 1 month, 3 months, 6 months and 12 months were 3.95 ± 0.91, 4.61 ± 1.18, 4.61 ± 1.18, 5.15 ± 1.31 and 6.22 ± 1.37 respectively. The mean ± SD of split renal function were 24.22 ± 3.42 and 29.14 ± 4.20 in pre operative and post operative respectively. The mean ± SD of split GFR were 25.38 ± 4.11and 34.47 ± 6.30 in pre operative and post operative respectively. Renal functional status was seen as improvement in 39, stable in 3, and deterioration in 2 patients. Conclusions: When dealing with patients with pelviureteric junction obstruction, surgical treatment should be undertaken in patients with symptoms and/or impaired renal function. Bangladesh Journal of Urology, Vol. 18, No. 1, Jan 2015 p.28-32

show abstract

Section: Discussionsupporting

confidence: 90%

Outcome of Open Pyeloplasty on Ipsilateral Renal Function

Rahman¹,

Islam

Chowdhury

et al. 2020

Bang J Urology

View full text Add to dashboard Cite

show abstract

“…In developed countries, almost all abnormalities of the PUJ are detected and treated early in life due to the widespread use of prenatal ultrasound and the advent of modern imaging techniques. [17][18][19] None of the patients in our study were diagnosed prenatally even though ultrasound is readily available and the cost of prenatal ultrasound screening is relatively low. It is, therefore, not surprising that 31% of the patients in our study presented during childhood, even though this age of presentation is late compared to what is seen in developed countries.…”

Section: Discussionmentioning

confidence: 97%

“…It is, therefore, not surprising that 31% of the patients in our study presented during childhood, even though this age of presentation is late compared to what is seen in developed countries. 18,19 It appears that prenatal diagnosis will continue to elude most patients in developing countries until prenatal screening is incorporated into national healthcare policies.…”

Section: Discussionmentioning

confidence: 99%

Management of pelviureteric junction obstruction at a tertiary teaching hospital in southwestern Nigeria: A retrospective analysis of case records

Talabi¹,

Salako²,

Sowande³

et al. 2018

East. Cent. Afr. J. Surg.

View full text Add to dashboard Cite

Introduction Pelviureteric junction obstruction (PUJO) refers to impairment of the normal transport of urine from the renal pelvis to the ureter. 1 The pelviureteric junction (PUJ) is the most common site of obstruction along the upper urinary tract, 2,3 and PUJO is the most common cause of hydronephrosis in children. 4 Inadequate drainage of urine from the renal pelvis into the ureter results in hydrostatic distension of the renal pelvis and intrarenal calyces. The combination of raised intrapelvic pressure and stasis of urine in the collecting ducts results in progressive kidney damage and deterioration of renal function. 5 Most cases are congenital in origin and are diagnosed prenatally in most developed countries. 6 Inadequate canalization of the pelviureteric area, the premature arrest of ureteral muscular development, and a deficiency of interstitial cells of Cajal have been proposed as embryologic bases for this anomaly. 7,8 Other possible causes include ureteral atresia, polyps, valves, extrinsic compression by aberrant early-branching lower pole vessels, retroperitoneal fibrosis, tumours, and ureteral stones. 6,9,10 PUJO treatment has evolved from the open techniques to minimally invasive (endoscopic and laparoscopic) tech

show abstract

Evaluation of the Management Results of Uretero-Pelvic Junction Abnormalities

Hounnasso¹,

Avakoudjo²,

Soumanou³

et al. 2015

OJU

View full text Add to dashboard Cite

Objectives: To evaluate therapeutic and prognosis of Uretero-pelvic junction abnomalities. Methods: This article was retrospective and descriptive, covering a period of six months, running from January 1st to December 31st, 2013 and conducted to evaluate therapeutic and prognosis of Uretero-pelvic junction abnormalities. Included criteria were all patients whose diagnosis was abnormalities of the uretero-pelvic junction and had been confirmed after para clinical explorations. The stricture of the junction after a first kidney surgery did not include. The Creatinine level has considered high from 15 mg/l. Results: The median age was 35 years old. Age groups (30-40) years old have predominated in 36.2%. A male predominance had been noted in 62.3% versus 37.7% women. The most affected occupation was the officials in 37.7% of cases. The main reason for consultation was lumbar pain in 97.1%. The high creatinine level has observed in 19 patients (27.5%). Sixty-one patients (88.41%) have been operated. An abstention has been observed in 7 patients (10.14%) and one patient died before the surgical issue in renal failure. The early postoperative course has been uneventful in 78.7% (48 cases) and complicated in 21.3% (21 cases). Conclusions: Open surgery tends to disappear at the expense of the endopyelotomy and laparoscopy which gives best results. However, it is still relevant.

show abstract

Dismembered pyeloplasty for ureteropelvic junction syndrome treatment in children

Abstract: Open dismembered pyeloplasty is a safe and effective treatment in paediatric UPJS.

Cited by 3 publications

References 13 publications

Outcome of Open Pyeloplasty on Ipsilateral Renal Function

Outcome of Open Pyeloplasty on Ipsilateral Renal Function

Management of pelviureteric junction obstruction at a tertiary teaching hospital in southwestern Nigeria: A retrospective analysis of case records

Evaluation of the Management Results of Uretero-Pelvic Junction Abnormalities

Contact Info

Product

Resources

About