RT - Journal
TY - JOUR
A1 - Loulah, Magdy
A1 - Zeid, Nehad
A1 - Dorgham, Mohamed
T1 - Stented versus stentless open pyeloplasty in children
YR - 2018/1/1
JF - Menoufia Medical Journal
JO - Menoufia Med J
SP - 188
OP - 192
VO - 31
IS - 1
UL - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=1;spage=188;epage=192;aulast=Loulah;t=5
DO - 10.4103/mmj.mmj_691_16
N2 -
Objective
The aim of this study was to compare between stenting and nonstenting in dismembered pyeloplasty as regards outcome, early and late postoperative results, and complications.
Background
Ureteropelvic junction obstruction is a common congenital urologic anomaly. Open pyeloplasty is the standard surgical treatment. Drainage following pyeloplasty using a double J stent prevents subsequent stenosis and urine leakage.
Patients and methods
This study was conducted on 20 pediatric patients (maximum age 16 years) with a primary diagnosis of ureteropelvic junction obstruction who were divided into two groups: Group 1, the stented group double J (10 cases). Group 2, the nonstented group (10 cases). Classic Anderson–Hynes pyeloplasty was performed for the two groups.
Results
A total of 20 patients were included in the study. 16 (80%) cases were male and four (20%) cases were female. Their ages ranged from 6 months to 15 years. The mean ± SD age was 6.75 ± 4.53 years. All cases were unilateral; 10 (50%) cases were right sided and 10 (50%) cases were left sided. Postoperative complications included the following: urinary tract infection in only one case in group 1, residual mild hydronephrosis in only one case in group 1 and three (30%) cases in group 2; clot formation in only one case in group 2, and urinoma in only one case in group 2.
Conclusion
Pyeloplasty with a diverting stent is technically feasible and safe. Only risks for multiple anesthesias and economic burden with stent removal are present. The specific indication when stented pyeloplasty needs to be performed is in redo pyeloplasty, solitary kidney, inflamed renal pelvis, and hugely distended renal pelvis.
ER -