S Ahmed1, S Crankson, V Sripathi. 1. Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. urology@wch.sa.gov.au
Abstract
BACKGROUND: Hydronephrosis secondary to pelviureteric junction (PUJ) obstruction is common in infancy and childhood. Pyeloplasty has until recently been the accepted method of management, but alternative endo-urological techniques have evolved in the last decade. METHODS: Published results of conventional pyeloplasty for primary PUJ obstruction in children were compared with published results of endo-urological procedures. RESULTS: Sixty-six pyeloplasties were performed in 61 children in a 6-year period. During a similar period, 63 primary endo-urological procedures were reported in the literature. The success rate after pyeloplasty was 95.5% compared with 65% after endo-urology. CONCLUSIONS: Conventional pyeloplasty is superior to endo-urology and should remain the gold standard for the treatment of primary PUJ obstruction in children.
BACKGROUND:Hydronephrosis secondary to pelviureteric junction (PUJ) obstruction is common in infancy and childhood. Pyeloplasty has until recently been the accepted method of management, but alternative endo-urological techniques have evolved in the last decade. METHODS: Published results of conventional pyeloplasty for primary PUJ obstruction in children were compared with published results of endo-urological procedures. RESULTS: Sixty-six pyeloplasties were performed in 61 children in a 6-year period. During a similar period, 63 primary endo-urological procedures were reported in the literature. The success rate after pyeloplasty was 95.5% compared with 65% after endo-urology. CONCLUSIONS: Conventional pyeloplasty is superior to endo-urology and should remain the gold standard for the treatment of primary PUJ obstruction in children.
Authors: C William Schwab; Grace Hyun; Francisco Garibay-Gonzalez; Douglas A Canning; Richard W Grady; Pasquale Casale Journal: JSLS Date: 2006 Jul-Sep Impact factor: 2.172