Is Retrograde Ureterography Indicated in Pelviureteric Junction Obstruction?

Connolly, J.; Gleeson, Malachy J.; Grainger, Ronald G.; McDermott, Ted; Butler, Michael R.

doi:10.1111/j.1464-410x.1993.tb15907.x

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Furthermore, often preoperative antegrade or retrograde ureteropyelography is performed. Connolly et al fanden dar-überhinaus nur bei 2 von 119 Erwachsenen mit einer Nierenbeckenplastik eine zusätzliche Ureteranomalie; bei einem Patienten lag ein Ureter duplex und bei einem weiteren Patienten eine 3 cm lange Harnleiterstriktur im Anschluß an die Abgangsstenose vor, die jeweils intraoperativ diagnostiziert wurden und keinerlei Probleme bereiteten [2]. Therefore, we reviewed the records of 41 children who underwent a pyeloplasty in our department.…”

Section: Discussionunclassified

Is retrograde ureteropyelography prior to pyeloplasty necessary in children?

Bachor

Kleinschmidt

Gottfried

et al. 1997

Urologe

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For routine evaluation of ureteropelvic junction obstruction in children, sonography, voiding cystogram, IV pyelogram and a renal scan in combination with administration of furosemide are available. Furthermore, often preoperative antegrade or retrograde ureteropyelography is performed. However, the significance of retrograde ureteropyelography in the world literature remains controversial. Therefore, we reviewed the records of 41 children who underwent a pyeloplasty in our department. In 9 children the ureter was visualized by IV pyelogram, voiding cystogram or antegrade ureteropyelography; a retrograde examination of the ureter was performed in 21 children before pyeloplasty in the OR. In 11 children the ureter was not visualized preoperatively. Retrograde ureterography neither gave additional information in any patient nor did it change the operative technique. In the children where the ureter was not visualized preoperatively, no ureteric abnormality was found in association with ureteropelvic junction obstruction. Hence, we conclude that retrograde ureteropyelography before pyeloplasty in children is not necessary, provided that sonography does not show ureteral dilatation.

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Section: Discussionunclassified