Poorly Function Kidney, Uretro-pelvic Junction Obstruction
Conditions
Keywords
UPJO, Poorly function kidney, Laparoscopic assissted pyeloplasty, Open pyeloplasty, Pediatrics
Brief summary
The management of kidneys with poor function less than 10% has been the subject of debate for more than a decade. Some authors have recommended nephrectomy while others favor renal salvage (pyeloplasty). the investigators reported their experience of lap assisted pyeloplasty in poorly functioning kidneys in the pediatric age group, concerning on the benefits of a minimally invasive method for repair of UPJO, in comparison with open approach.
Interventions
PROCEDUREDismembered Pyeloplasty
dismembered Anderson-Hynes repair was performed using 5/0 absorbable suture.
Sponsors
University Hospital Fattouma Bourguiba
Al-Azhar University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
2 Months to 14 Years
Healthy volunteers
No
Inclusion criteria
* Patients with hydronephrosis diagnosed as UPJO * Antero-Posterior pelvic diameter more than 20 mm * renal function equal or less than 10%, * corrected by laparoscopic assisted or open pyeloplasty
Exclusion criteria
* Patients with ureteral dilatation (VUR), * renal function more than 10%, * acquired and recurrent cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Renal function | 12 months post-operative | Split renal function by Renal scan (DTPA) % |
| Measurments A-P renal pelvis diameter | 12 months | ultrasound measuerment of renal pelvis diameter by mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | one month | operative time by minutes |
Countries
Egypt
Outcome results
None listed