African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 1095Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
 
ORIGINAL ARTICLE
Year : 2012  |  Volume : 9  |  Issue : 2  |  Page : 98-101

Dismembered pyeloplasty for ureteropelvic junction syndrome treatment in children


1 Department of Pediatric Surgery, Centro Hospitalar do Porto, Porto; Life and Health Sciences Research Institute, University of Minho, Braga, Portugal
2 Department of Pediatric Surgery, Centro Hospitalar do Porto, Porto, Portugal
3 Department of Urology, Centro Hospitalar do Porto, Porto, Portugal, Portugal

Correspondence Address:
João Moreira-Pinto
Serviço de Cirurgia Pediátrica, Centro Hospitalar do Porto, Rua da Boavista, 827, 4050-111 Porto
Portugal
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.99392

Rights and Permissions

Background: Open dismembered pyeloplasty remains the preferred surgical technique for ureteropelvic junction syndrome (UPJS) in most paediatric urology units. The authors present their experience of 230 patients and describe their form of presentation, treatment and early and long-term results. Materials and Methods: Retrospective analysis of clinical records of 230 patients submitted to dismembered pyeloplasty in an 8-year period, from 1999 until 2007. Pre-operative data, early and long-term complications were registered. Image studies included renopelvic ultrasonography, mercapto-acetyl triglycine (MAG3) renal scan with furosemide test and, in some cases, elimination urography and retrograde cystography. Pre-operative and post-operative results were compared. Results: Median age of our patients at time of surgery was 14.9 months (range: 21 days until 16.6 years). The majority of patients were male (72%, n = 166) and 74% (n = 120) had pre-natal diagnosis. The majority of hydronephrosis were in the left side (61%, n = 141). There were only 3% of complications in early post-operative period: four had acute pyelonephritis, two had renocutaneous fistula and one died due to respiratory failure. Mean follow-up period was 5 years, ranging from 12 months to 9.7 years. There was only one case of recurrence with the need of reoperation. Comparing pre-operative and post-operative imaging results, we found that 89% had normal renal function, 7% diminished but better than before and 2% equal as before surgery. Conclusion: Open dismembered pyeloplasty is a safe and effective treatment in paediatric UPJS.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3869    
    Printed167    
    Emailed0    
    PDF Downloaded215    
    Comments [Add]    
    Cited by others 1    

Recommend this journal