Outcomes of laparoscopic pyeloplasty and impact of an enhanced recovery protocol

Abstract

<b>Purpose:</b> The study aims to analyze the enhanced recovery protocol’s (ERP) effectiveness in a comparative study of elective surgeries for ureteropelvic junction obstruction (UPJO).<br /> <b>Methods:</b> The prospective study included 30 patients with UPJO who underwent laparoscopic pyeloplasty in 2018-2021.<br /> <b>Results:</b> Postoperative complications developed rarely, and their frequency and severity were comparable. Independent predictors of UPJO recurrence were the spine osteochondrosis >II period (HR 13.97; 95% CI 1.26; 154.8; p=0.032), the concretions self-discharge (HR 28.49; 95% CI 1.78; 455.62; p=0.018), surgical operation duration > 110 minutes (HR 44.7; 95% CI 3.95; 505.4; p=0.002) and previous nephrostomy (HR 1.07; 95% CI 1.02; 1.13; p=0.002).<br /> <b>Conclusions:</b> In the surgical treatment of UPJO, it is advisable to use ERPs, as this allows achieving a better treatment quality with comparable results.