Hydronephrosis: Comparison of extrinsic vessel versus intrinsic ureteropelvic junction obstruction groups and a plea against the vascular hitch procedure

Menon, Prema; Rao, K. L. N.; Sodhi, Kushaljit Singh; Bhattacharya, Anish; Saxena, Akshay Kumar; Mittal, Bhagwant Rai

doi:10.1016/j.jpurol.2014.10.014

Cited by 32 publications

(36 citation statements)

References 12 publications

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“…In a typical course of UPJO with the presence of CV in the history, recurring pain in the lumbar and abdominal region frequently occurs. 7 In the analyzed material, the symptoms of renal colic, nausea and vomiting were the dominant symptoms in patients with CV. As many as 68% of our patients presented with CV.…”

Section: Discussionmentioning

confidence: 91%

“…The most common extrinsic factor of UPJO is the presence of CV. 1,4,5,7 In the literature, they are described as an artery or an artery and a vein supplying the lower pole of the kidney. Localized at the height of the UPJ, they can cause mechanical obstruction and the occurrence of a symptomatic hydronephrosis (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, in most cases, children with CV in a prenatal and neonatal interview do not have the dilatation of the kidney. 1,7 This variant of the disease is even referred to by some researchers as "adult hydronephrosis". We obtained very similar results in our material.…”

Section: Discussionmentioning

confidence: 99%

“…Crossing vessels are much more common in older children and adults, with no history of congenital hydronephrosis (prenatally diagnosed). 7 Moreover, characteristic features are colic and paroxysmal pains in the lumbar region. Subsequent ultrasound examinations may significantly differ in the aspect of the sizes of the pelvicalyceal system of sick kidney.…”

Section: Introductionmentioning

confidence: 99%

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Detection rate of crossing vessels in pediatric hydronephrosis: Transperitoneal laparoscopy versus open lumbotomy

Polok¹,

Borselle²,

Toczewski³

et al. 2019

Adv Clin Exp Med

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Detection rate of crossing vessels in pediatric hydronephrosis: Transperitoneal laparoscopy versus open lumbotomy

Polok¹,

Borselle²,

Toczewski³

et al. 2019

Adv Clin Exp Med

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“…However, even for the failed pyeloplasty, minimally invasive revision is safe and potentially more efficacious than open repair.57 The simple surgical displacement of a crossing vessel, which avoids a sutured anastomosis, is an attractive laparoscopic option that has been successful in some cases58 but carries the risk of leaving intrinsic obstruction unrelieved. 59 In affluent communities, robotic assistance is more common than laparoscopy alone, perhaps because of ease of suturing. The standard transperitoneal robotic approach leaves a well hidden umbilical scar, an ipsilateral lower quadrant scar, and a epigastric scar that can be cosmetically troublesome.…”

Section: Pelvi-ureteric Junction Obstructionmentioning

confidence: 99%

Advances in paediatric urology

et al. 2017

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Paediatric urological surgery is often required for managing congenital and acquired disorders of the genitourinary system. In this Series paper, we highlight advances in the surgical management of six paediatric urological disorders. The management of vesicoureteral reflux is evolving, with advocacy ranging from a less interventional assessment and antimicrobial prophylaxis to surgery including endoscopic injection of a bulking agent and minimally invasive ureteric reimplantation. Evidence supports early orchidopexy to improve fertility and reduce malignancy in boys with undescended testes. A variety of surgical techniques have been developed for hypospadias, with excellent outcomes for distal but not proximal hypospadias. Pelvi-ureteric junction obstruction is mostly detected prenatally; indications for surgery have been refined with evidence, and minimally invasive pyeloplasty is now standard. The outlook for patients with neurogenic bladder has been transformed by a combination of clean intermittent catheterisation, algorithms of diagnostic investigations, and innovative medical and surgical therapies. Posterior urethral valves are associated with considerable mortality; fetal diagnosis allows stratification of candidates for intervention, but ongoing bladder dysfunction in patients after valve ablation remains a cause of long-term morbidity.

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Laparoscopic pyeloureterostomy for ureteropelvic junction obstruction occurring in incomplete ureteral duplication of the solitary kidney

et al. 2021

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Introduction Ureteropelvic junction obstruction associated with ureteral duplication is rare, with prevalence reported to be around 2–7%. Ureteropelvic junction obstruction of the lower pole with both complete and incomplete duplex systems is a common cause of obstruction. Here, we report a case of ureteropelvic junction obstruction associated with incomplete ureteral duplication of the solitary kidney successfully treated by pyeloureterostomy. Case presentation The patient was a 39‐year‐old woman who presented with right hydronephrosis, right back pain, and deteriorated renal function. The patient was referred to our department from the rheumatology department. Her medical history included congenital left renal hypoplasia, Sjogren's syndrome, and hyperphospholipid antibody syndrome. Conclusion We encountered a case of hydronephrosis occurring in a solitary kidney with incomplete ureteral duplication. This case was successfully managed after pyeloureterostomy.

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Hydronephrosis: Comparison of extrinsic vessel versus intrinsic ureteropelvic junction obstruction groups and a plea against the vascular hitch procedure

Cited by 32 publications

References 12 publications

Detection rate of crossing vessels in pediatric hydronephrosis: Transperitoneal laparoscopy versus open lumbotomy

Detection rate of crossing vessels in pediatric hydronephrosis: Transperitoneal laparoscopy versus open lumbotomy

Advances in paediatric urology

Laparoscopic pyeloureterostomy for ureteropelvic junction obstruction occurring in incomplete ureteral duplication of the solitary kidney

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