Results of Treating Hydronephrosis by the Chapman Technique

McCreadie, C

doi:10.1177/003591576806111p136

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1982

1999

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“…Ureterolysis with renal vessel transposition is a safe, simple and time-proven procedure for the relief of pelviureteric obstruction associated with lower polar vessels, where rapid pelvic emptying is observed following mobilisation of the renal pelvis and pelviureteric junction. Symptoms were relieved in 90% of our patients, a figure comparable to that reported by McCreadie (1968).…”

Section: Discussionsupporting

confidence: 90%

The Results of Lower Polar Renal Vessel Transposition (the Chapman Procedure) in the Management of Hydronephrosis

Smith¹,

McGeorge²,

Abel³

et al. 1982

British Journal of Urology

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Over a 15-year period, 19 patients with hydronephrosis due to pelviureteric obstruction associated with lower polar vessels were treated by ureterolysis and transposition of the vessels. Only those patients who, at operation, showed rapid pelvic emptying was not observed, a pyeloplasty was performed in addition. Complete relief of symptoms occurred in 90% of the patients. Post-operative reduction in the degree of hydronephrosis was demonstrated by intravenous urography in 74% and renal pelvic drainage was judged excellent by diuresis renography in 80%. Diuresis renography allowed the demonstration of free and rapid pelvic drainage in the majority of those patients with persisting hydronephrosis shown by intravenous urography.

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Section: Discussionsupporting

confidence: 90%