Functional outcomes of early versus delayed pyeloplasty in prenatally diagnosed pelvi-ureteric junction obstruction

Laparoscopic pyeloplasty in infants: Single-surgeon experience

“…However, since many of these kidneys also had impaired function to begin with, a repeat DR was suggested and obtained in most of the children; most children have demonstrated stable or improved function postpyeloplasty. Other authors also observed that infant pyeloplasties resulted in improved function [22].…”

Percent improvement in renal pelvis antero-posterior diameter (PI-APD): Prospective validation and further exploration of cut-off values that predict success after pediatric pyeloplasty supporting safe monitoring with ultrasound alone

“…The main benefit of routine post-pyeloplasty renal scans is the assessment of renal function and confirmation of adequate kidney drainage, providing reassurance to physicians and parents that the procedure has been successful, especially in the setting of persistent hydronephrosis [13][14][15]. However, renograms do not come without associated risks.…”

Benefit of F-15 protocols in equivocal F + 20 MAG3 renography in children with upper tract dilatation and symmetric split function: Results and outcomes

“…They concluded that children with unilateral obstructive hydronephrosis and good initial function are better served by early pyeloplasty than observation [14]. A recently published paper revealed that irrespective of initial DRF, early pyeloplasties lead to an improvement of DRF in prenatal-diagnosed hydronephrosis, while delayed pyeloplasty lead to a marginal, but significant, loss [15].…”