The relief of obstruction alone is frequently not sufficient to ensure renal salvage in giant hydronephrosis. We report on our experience with plication of the renal calyces used as an adjunct to dismembered pyeloplasty in patients with giant hydronephrosis. We describe the operative technique and outcomes in ten children after a follow-up period of six months. Ten patients (six girls and four ...

BACKGROUND This study was undertaken to assess the effect of antegrade placement of internal double-J catheters for patients who underwent open pyeloplasty for ureteropelvic junction (UPJ) obstruction. METHODS Medical records of unilateral dismembered pyeloplasties of 71 patients with UPJ obstruction treated between 1998 and 2008 were reviewed retrospectively. In all patients, a double-J cath...

OBJECTIVE We evaluated the improvement of hydronephrosis longitudinally after laparoscopic dismembered Anderson-Hynes pyeloplasty in adult patients with ureteropelvic junction obstruction. MATERIAL AND METHODS Sixteen patients underwent laparoscopic pyeloplasty at our institution between January 2006 and June 2012. Hydronephrosis was assessed by ultrasound and intravenous pyelography at 3, 6,...

INTRODUCTION Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in difficult pyeloplasty cases managed by laparoscopy. MATERIAL AND METHODS Six patients (4 females and 2...

The purpose of this study is to assess functional and morphologic recovery in children after dismembered pyeloplasty for GH caused by UPJO of children. From Jan 2005 to Dec 2010, 38 pediatric patients with GH who underwent dismembered pyeloplasty performed by a single surgeon were retrospectively analyzed. Patient follow-up was at least 3 years. The outcomes of different types of UPJO were comp...

Hydronephrosis secondary to pelvi-ureteric obstruction affecting one hundred children and derived from a 13 year period were reviewed. Particular attention was paid to symptomatology in infancy and childhood, pre-operative investigations and postoperative assessment. Following pyeloplasty the late results assessed clinically, radiologically and renographically were entirely satisfactory. The op...