Outcome of delayed presentation of pelvi-ureteric junction obstruction

Obarisiagbon, EO; Agbugui, JO

doi:10.4103/2384-5589.139436

Cited by 2 publications

(4 citation statements)

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“…The diagnosis of PUJO is made mostly in the third and fourth decades of life in most tertiary hospitals in Nigeria 1,2,14 and other developing countries, 15,16 as was seen in our study, which had a mean patient age of 30 years. 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.…”

Section: Discussionmentioning

confidence: 50%

“…The most common symptom in our study was flank pain, and this concurs with other reports. 1,2,21 The diagnosis of PUJO is confirmed principally by renal ultrasound, IVU, CT or magnetic resonance urography, diuretic isotope renogram, or retrograde ureteropyelography. In our study as well as in other published articles from developing countries, 1,3,15 renal ultrasonography, IVU, retrograde ureteropyelography, and CT urography have been found valuable in assessing the degree of hydronephrosis, differential renal function, and also in defining the anatomical abnormality at the PUJ.…”

Section: Discussionmentioning

confidence: 99%

“…Open pyeloplasty is the comparative gold standard for PUJO treatment in children and adults, and Anderson-Hynes pyeloplasty is the most common method employed globally. 2,3 The overall success rate is said to be between 90% and 100%. 25,26 In our study, Anderson-Hynes dismembered pyeloplasty was performed in two-thirds of patients, with an overall success rate that is similar to that reported by other studies.…”

Section: Management Of Pujo At a Nigerian Teaching Hospitalmentioning

confidence: 99%

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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.

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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

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Management Of Pujo At a Nigerian Teaching Hospitalmentioning

confidence: 99%

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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.

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“…In our study mean age in group A and group B was found to be 30.06 ± 8.28 and 27.63 ± 6.07 respectively and in both the groups left side was affected more commonly than right side. Obarisiagbon and Agbugui 14 undertook a study in which the authors reviewed cases of upper urinary tract obstruction due to PUJ obstruction. In this study the authors found mean age of the affected cases to be 28.8 ± 18.9 (range 1–75 years).…”

Section: Discussionmentioning

confidence: 99%

A comparative study between continuous and interrupted sutures in open pyeloplasty

2021

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Background: Pelvi-ureteric junction obstruction (PUJO) is one of the common causes of obstructive uropathy dealt by urologists around the globe. The management of PUJO requires surgical intervention and pelvi-ureteral anastomosis is most time-consuming step in surgery and suturing plays a critical role for the good outcome of the surgery. Objective: To assess the outcomes of continuous or interrupted suturing in open pyeloplasties done for PUJ obstruction. Materials and methods: This comparative study was conducted in the department of Urology in a tertiary care hospital of eastern India. A total of 60 patients with pelviureteric junction obstruction were included as per inclusion and exclusion criteria and divided into two groups depending upon whether continuous (Group A) or interrupted (Group B) suturing was done. Both groups were compared for mean operative time, mean suturing time, duration of post-operative drainage, mean drain output, post-operative hospital stay, postoperative GFR and improvement in GFR. Results: Out of 60 patients continuous and interrupted suturing was done in 30 patients in both arms. Out of 60 cases there were 46 (76.66%) males and 14 (23.33%) females with a M:F ratio of 1:0.30. The mean age in group A and group B was found to be 30.06 ± 8.28 and 27.63 ± 6.07, respectively. Mean operative time, mean suturing time, duration of post-operative drainage, mean drain output and postoperative hospital stay were found to be higher in interrupted suture group and the difference was found to be statistically highly significant ( p < 0.0001). The complication rates and recurrence rates were found comparable in both the cases with no statistically significant difference ( p > 0.05). Conclusion: Continuous suturing technique for pyeloplasty is preferable as it is found to have a lower mean operative time, mean suturing time, duration of post-operative drainage, mean drain output and postoperative hospital stay.

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Outcome of delayed presentation of pelvi-ureteric junction obstruction

Cited by 2 publications

References 1 publication

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

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

A comparative study between continuous and interrupted sutures in open pyeloplasty

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