Early Diuresis Renogram Findings Predict Success Following Pyeloplasty

Pohl, Hans G.; Rushton, H. Gil; Park, Jae Shin; Belman, A. Barry; Majd, Massoud

doi:10.1016/s0022-5347(05)66192-7

Cited by 65 publications

(19 citation statements)

References 13 publications

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“…For endopyelotomy and pyeloplasty we contend that patients should have long-term followup, which is contradictory to what has been recommended in the past. 14,15 In addition, we have changed our followup for endopyelotomy and pyeloplasty to be more consistent with our findings. Although we still see patients every 3 to 6 months in the year after treatment with a functional study, we now see them annually thereafter with renal ultrasound and diuretic renogram, if needed, to evaluate for new hydronephrosis, cortical loss or return of symptoms.…”

Section: Discussionsupporting

confidence: 72%

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

et al. 2008

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Section: Discussionsupporting

confidence: 72%

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

et al. 2008

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“…[25] In our study none of our patients demonstrated any obstructive manifestations on their radiograms obtained at postoperative 3. months. However our data which reflect our primary results retrieved from limited number of patients should be reinforced by assessments made in longer term studies.…”

Section: Discussioncontrasting

confidence: 44%

Outcomes of robot-assisted laparoscopic transperitoneal pyeloplasty procedures: a series of 18 patients

Ener

Altinova

Canda

et al. 2014

Turkish Journal of Urology

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Objective: We evaluated outcomes of our robot-assisted laparoscopic transperitoneal pyeloplasty (RALP) procedures. Material and methods:Between July 2011 and March 2014, 18 RALP procedures were performed at our instutition. Ureteropelvic junction obstruction (UPJO) diagnosis was made based on clinical presentation and intravenous urography. All patients underwent basal and diuretic isotopic renography to evaluate the degree of obstruction and impaired renal function. Anderson-Hynes dismembered pyeloplasty technique was used with a transperitoneal approach by using the da Vinci-S 4-arm surgical robot. Outcomes were assessed retrospectively.Results: Mean patient age was 31.3±11.7 (13-62) years. Male: female ratio was 9: 9. All procedures were primary surgeries. Of 18 patients, 10 (55.5%) had a crossing vessel and 8 (44.5%) had intrinsic obstruction. Conclusion: Due to our experience, RALP is a safe and feasible minimally invasive approach in patients with UPJO with excellent surgical and functional outcomes.

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“…This success rate in GH is lesser than post pyeloplasty in simple HDN (>93%) as reported by Knoedler et al [25] and Pohl et al [26] . Complication rate reported as 23.8 % in our series is higher than reported in simple HDN by Pohl et al [26] . Three patients of recurrence were managed with endopyelotomy and one child underwent ureterocalycostomy.…”

Section: Discussionmentioning

confidence: 61%

Giant hydronephrosis: still a reality!

Kaura

Kumar

Sokhal

et al. 2017

Turkish Journal of Urology

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Objective: Giant hydronephrosis (GH) is a rare entity in both developed and developing countries with less than 500 cases reported in the literature. Delayed diagnosis and management of GH, can result in long-term complications like hypertension, rupture of the kidney, renal failure and malignant change. We aim to highlight the importance of this often neglected entity and build a consensus for its early diagnosis and management. Material and methods:Patients with GH were thoroughly worked up, managed and followed up between June 2013 and December 2015 and epidemiologic, radiological, perioperative and follow-up data was recorded.Results: A total of 35 patients (adults and children) were reported. Flank pain in adults and abdominal lump in children were the most common clinical presentation. Percutaneous nephrostomy tube was placed in all patients and detailed work up was done to reach final diagnosis. Pelvi-ureteric junction obstruction (PUJO) was the final diagnosis in 32 patients (91.4%). Kidneys were non-functioning in 13 cases (37.1%) so nephrectomies were performed. Reduction pyeloplasty with nephropexy was done in 21 patients (60%) with 81% success and 23.1% complication rates. Conclusion:GH requires early diagnosis and management to prevent higher nephrectomy rate along with poor success rate of conservative surgery like pyeloplasty.

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Early Diuresis Renogram Findings Predict Success Following Pyeloplasty

Cited by 65 publications

References 13 publications

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

The Minimally Invasive Treatment of Ureteropelvic Junction Obstruction: A Review of Our Experience During the Last Decade

Outcomes of robot-assisted laparoscopic transperitoneal pyeloplasty procedures: a series of 18 patients

Giant hydronephrosis: still a reality!

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