Ureteropelvic Junction Obstruction
Conditions
Brief summary
an intervention study on adult patients with uretero-pelvic junction obstruction (UPJO) due to crossing vessels would be managed either through classic dismembered pyeloplasty or vascular hitch.
Detailed description
in recent studies, some patients with crossing vessels UPJO could be managed by vascular displacement of these vessels, what is named as vascular hitch or vasculopexy in a way to avoid classic dismembered technique. this newer technique is supposed to provide comparable results to the classic technique but with lesser operative time and shorter hospital stay. in the era of minimally invasive procedures, robotic assisted or laparoscopic vascular hitch could provide many advantages over the classic open technique.
Interventions
repair of the uPJO
Sponsors
Study design
Masking description
one blind
Intervention model description
randomized intervention study
Eligibility
Inclusion criteria
* all patients with UPJO above 18 years * UPJO caused by crossing vessels confirmed by CT angiography * Symptomatic UPJO
Exclusion criteria
* recurrent UPJO after a previous trial of open repair , * secondary UPJO after open renal surgery. * UPJO in non functioning kidney
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| comparing the two techniques regarding the success rate | 2 years | both techniques are supposed to have similar results |
Countries
Egypt