Stented versus nonstented open pyeloplasty for primary ureteropelvic junction obstruction in children

Elbatarny, Akram M.; Elafifi, Mahmoud A.; Hashish, Amel A.; Elsharaby, Ahmed M

doi:10.4103/1110-1415.143555

Cited by 2 publications

(2 citation statements)

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“…That is why, renal growth or increase in cortical thickness is also used as an indicator parameter for assessing post-operative improvement and obstruction free drainage. 9,13 Another study shows the P/C ratio at preoperatively, after three months, and one year after operation. The reduction in P/C ratio was significant after three months (P<0.01) as well as at one year (P<0.01).…”

Section: Discussionmentioning

confidence: 99%

Post-operative sonological evaluation of pelvi-ureteric drainage of unilateral A-H pyeloplasty in children

Islam¹,

Amin²,

Hossain³

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

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Background: Pelvi-ureteric junction obstruction is the most common cause of pediatric hydronephrosis where A-H pyeloplasty with D-J stent is the established treatment option with a high success rate. We observed the predictive value of sonological parameters for early detection of postoperative obstruction at the new pelvi-ureteric junction in children following unilateral A-H pyeloplasty. Methods: This cross-sectional study included 12 children who underwent unilateral A-H pyeloplasty. Post-operative follow-up was done after D-J stent removal and completed within six months. Maximum antero-posterior pelvic diameter (APPD), cortical thickness (CT), and pelvi-cortical (P/C) ratio were compared. Results: Mean APPD was 32.7 mm at the day after removal of the stent, 24.4 mm at one month, and 19.7 mm at four months. Mean CT was 5.2 mm at the day after removal of the stent, 6.1 mm at one month and 8.0 mm at four months. P/C ratio was 8.3 mm at the day after removal of the stent, 5.2 mm at one month, and 3.4 mm at four months. Increased CT and reduced P/C ratio were significant at four months (P= 0.05). Conclusion: CT value and P/C ratio can be used as an early marker of success for pelvi-ureteric drainage following A-H pyeloplasty. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(1): 58-61

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Section: Discussionmentioning

confidence: 99%

Post-operative sonological evaluation of pelvi-ureteric drainage of unilateral A-H pyeloplasty in children

Islam¹,

Amin²,

Hossain³

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

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“…UPJO may be complicated by loin pain, UTI, renal impairment, stone formation, or even hypertension. [4] In addition to the controversies regarding the surgical repair of UPJO, it remains difficult for urologist to choose optimal time for surgical intervention because the UPJO either due to intrinsic or extrinsic factors results in functional and anatomical obstruction of urine flow from the renal pelvis to ureter, which makes the natural history of the disease variable. [5] If the UPJO is left untreated in the first 6 months of life, in this period, the glomerular filtration rate increases several times, and it may result in progressive damage to the affected unit.…”

Section: Discussionmentioning

confidence: 99%

Five-Year experience with pyeloplasty using intubated and nonintubated techniques

Etabbal¹,

Bashari

Bakar

2017

Ibnosina Journal of Medicine and Biomedical Sciences

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Background: Ureteropelvic junction obstruction (UPJO) is an obstruction of urine flow from the renal pelvis to the ureter. This condition can be caused by congenital and acquired due to intrinsic or extrinsic factors. UPJO due to acquired conditions such as secondary to inflammation, passage stones, or ureteric folds is less common. In case of suspected UPJO, the critical decision to be made depends on the correlation between the radiologic findings and the physiologic picture. There have been recent and serious trials to perform the surgical repair of UPJO without intubation, with reservation of double J (DJ) stents and nephrostomy tubes for complex cases. The Aim of Study: The aim of the study was a comparison of the time of drain removal, hospital stay, complications, and the end result of surgery in intubated and nonintubated UPJO repair. Patients and Methods: A retrospective case serious study performed in Urological Departments at Benghazi Medical Center and Al-Hawari Urology Center by reviewing 51 files of consecutive patients of UPJO admitted to the department of urology from May 2010 to 2015. All patients were diagnosed using different diagnostic tools. Forty-three cases underwent reconstructive surgeries as follows: 41 (95.3%) patients underwent Anderson-Hynes-dismembered (A-H-D) pyeloplasties and 2 (4.7%) patients underwent VY Foley pyeloplasties. Out of 41 cases underwent A-H-D pyeloplasties, there were six cases underwent concomitant pyelolithotomy. Results: The time of removal percutaneous perinephric tube drain was 7 th to 9 th postoperative days and 7.9 ± 0.5 days. The postoperative hospital stay for all cases range from 7 days to 10 days and the mean was 8.0 ± 0.8 days. Conclusions: Despite both intubated and nonintubated techniques of UPJO repair are comparable regarding the hospital stay postoperative complication, the tubeless surgical repair of UPJO is more suitable for children and superior to the intubated technique regarding the cost of DJ stent and nephrectomy tube.

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Stented versus nonstented open pyeloplasty for primary ureteropelvic junction obstruction in children

Cited by 2 publications

References 1 publication

Post-operative sonological evaluation of pelvi-ureteric drainage of unilateral A-H pyeloplasty in children

Post-operative sonological evaluation of pelvi-ureteric drainage of unilateral A-H pyeloplasty in children

Five-Year experience with pyeloplasty using intubated and nonintubated techniques

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