Duration of urinary leakage after open non-stented dismembered pyeloplasty in pediatric patients

Liss, Zachary; Olsen, Trevor M.; Roelof, Brian; Steinhardt, George F.

doi:10.1016/j.jpurol.2012.06.002

Cited by 11 publications

(17 citation statements)

References 16 publications

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“…Most of the patients in our study were from rural area and were poor economically, so we kept the patients in ward until perinephric drain was removed. So, in contrary to Liss et al [3] we discharged the non-stented patients only after perinephric drain and foley's catheter was removed.…”

Section: Discussionmentioning

confidence: 81%

“…Numerous studies have investigated whether stents are needed during pediatric pyeloplasty, but the question remains unanswered and the decision remains controversial and largely surgeon dependent. Even among proponents of urinary diversion, the optimal method remains unclear [1][2][3][4][5][6][7]. However, the original report by Anderson and Hynes [7-12] described a stent less procedure; currently, one can find reports supporting no stents [13-16], externalized stents (percutaneous catheter) [4,17,18], and internalized (JJ) stents [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…[19] study, 52% in Liss et al [3] study, 40% in Hussain and Frank's [13] study, 47% in Özdmir and Artikan's [26] study, and 70% in Wooand Farnsworth's [7] study. This fact needs attention and more awareness in our community; however, we are now increasingly being antenatally consulted for fetuses with hydronephrosis.…”

Section: Discussionmentioning

confidence: 99%

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A Comparative Study of Outcome of Pyeloplasty in Stented and Non Stented Children with Puj Obstruction

Laddha¹,

Khare²,

Lahoti³

et al. 2018

J Surg Anesth

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Introduction:It is a matter of debate whether to use a stent (double J) or not during pyeloplasty in patients of puj obstruction. This study was conducted to assess which technique-stented or non-stented is better for paediatric patients with puj obstruction. Materials and method: 45 paediatric patients aged 0-12 years were included in this prospective comparative simple randomized sample study during the period of june 2015 to august 2017 in paediatric surgery division of department of surgery in M.Y. Hospital, Indore. The M:F ratio was 2:1. All patients except one underwent open A-H Dismembered Pyeloplasty. The parameters used for comparison were:-• Renal parenchymal diameter • Renal pelvis AP diameter • GFR (by DTPA scan) • Rate of complications.Minimum follow up period was 3 months.Result: Stented children had significant improvement in renal parenchymal diameter (i.e. increase) and GFR (of affected kidney) after pyeloplasty whereas non-stented children too had improvement in renal parenchymal diameter and GFR (affected kidney) but was not significant. The percentage of post-operative complications were more in non-stented group as compared to stented group. Conclusion:In all paediatric cases with pujo undergoing A-H pyeloplasty, a double J stent should be placed.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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A Comparative Study of Outcome of Pyeloplasty in Stented and Non Stented Children with Puj Obstruction

Laddha¹,

Khare²,

Lahoti³

et al. 2018

J Surg Anesth

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“…[8] JJ stenting decreases the risk of urinary leakage (resulting in urinary ascites and bowel paralysis) from the anastomotic site, which is particularly vital in the transperitoneal approach. [9] It is important to place the JJ catheter safely within a short period of time as well as to place it without causing complications, which can include ureteral perforation, urethral displacement of the distal end of the JJ stent, and fixation.…”

Section: Discussionmentioning

confidence: 99%

Does antegrade JJ stenting affect the total operative time during laparoscopic pyeloplasty?

Bolat¹,

Çınar²,

Akdeniz³

2017

Turkish Journal of Urology

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Objective: We aimed to show the effect of retrograde JJ stenting and intraoperative antegrade JJ stenting techniques on operative time in patients who underwent laparoscopic pyeloplasty. Material and methods:A total of 34 patients were retrospectively investigated (15 male and 19 female) with ureteropelvic junction obstruction. Of the patients stentized under local anesthesia preoperatively, as a part of surgery, 15 were retrogradely stentized at the beginning of the procedure (Group 1), and 19 were antegradely stentized during the procedure (Group 2). A transperitoneal dismembered pyeloplasty technique was performed in all patients. The two groups were retrospectively compared in terms of complications, the mean total operative time, and the mean stenting times. Results:The mean ages of the patients were 31.5±15.5 and 33.2±15.5 years (p=0.09), and the mean body mass indexes were 25.8±5.6 and 26.2.3±8.4 kg/m 2 in Group 1 and Group 2, respectively. The mean total operative times were 128.9±38.9 min and 112.7±21.9 min (p= 0.04); the mean stenting times were 12.6±5.4 min and 3.5±2.4 min (p= 0.02); and the mean rates of catheterization-to-total surgery times were 0.1 and 0.03 (p= 0.01) in Group 1 and 2, respectively. The mean hospital stays and the mean anastomosis times were similar between the two groups (p>0.05). Conclusion:Antegrade JJ stenting during laparoscopic pyeloplasty significantly decreased the total operative time.

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“…Dismembered pyeloplasty for the surgical treatment of UPJO has a reported success rate of 95-100%, with a high level of evidence. [60][61][62][63][64][65][66][67][68][69] Laparoscopic or retroperitoneoscopic approaches have been reported as alternatives to the standard open procedure, with good results being reported. However, all the approaches to pyeloplasty have advantages and disadvantages, and there is no clear evidence of which is best.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Pediatric congenital hydronephrosis (ureteropelvic junction obstruction): Medical management guide

et al. 2020

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The prevalence of asymptomatic hydronephrosis, now detected by ultrasonography, has increased. However, definitive management guidelines for the management of congenital hydronephrosis have not been established. The Japanese Society of Pediatric Urology created a "medical management guide" based on new findings for physicians practicing pediatric urology. We developed a medical management guide focused on congenital hydronephrosis caused by ureteropelvic junction obstruction. This medical management guide consists of the definition, pathophysiology, epidemiology, diagnosis, classification, treatment using a clinical management algorithm of hydronephrosis and the long-term course of the disease. The aim of hydronephrosis management is to determine whether surgery should be carried out to avoid renal dysfunction, as there is a possibility for improvement without intervention. Ultrasonography is essential to make treatment decisions. Management is determined by a comprehensive assessment, including the degree of hydronephrosis, anterior-posterior diameter of the renal pelvis and, if necessary, a nuclear medicine evaluation of the status of urine drainage and renal function.

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Duration of urinary leakage after open non-stented dismembered pyeloplasty in pediatric patients

Cited by 11 publications

References 16 publications

A Comparative Study of Outcome of Pyeloplasty in Stented and Non Stented Children with Puj Obstruction

A Comparative Study of Outcome of Pyeloplasty in Stented and Non Stented Children with Puj Obstruction

Does antegrade JJ stenting affect the total operative time during laparoscopic pyeloplasty?

Pediatric congenital hydronephrosis (ureteropelvic junction obstruction): Medical management guide

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