Unsplinted, unstinted, pyeloplasty

Persky, Lester; Tynberg, Peter

doi:10.1016/0090-4295(73)90108-8

Cited by 27 publications

(7 citation statements)

References 6 publications

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“…18,23 The success rate of open A-H dismembered pyeloplasty varies from 94 to 100% in different series. 2,3,12,15,18,21,23,30,31 Our success rate in both groups was nearly 100%. The outcome of repair regarding improvement of hydronephrosis and GFR was comparable in both groups (Table 3 and 4).…”

Section: Discussionmentioning

confidence: 67%

“…18 In contrast, some authors stated that the nonstented group had a shorter hospital stay than the stented group. 8,12,14,15,[23][24][25][26][27] However in our study the length of stay for both stented and non-stented patients was nearly the same (3 days) ( Table 2). Most of the patients in our study were from rural area and were poor economically, so we kept the patients in ward until perinephric drain was removed.…”

Section: Discussionmentioning

confidence: 73%

“…However, the original report by Anderson and Hynes described a stentless procedure; currently, one can find reports supporting no stents, externalized stents (percutaneous catheter), and internalized (JJ) stents. 3,[5][6][7][11][12][13][14][15][16][17][18][19][20] This plethora of studies proves all methods to be safe and effective, but conflicting summaries of the results have not proved any single method as superior. 21 Through our comparative study on pyeloplasty we tried to answer the optimal method whether to do a stented or non-stented pyeloplasty in PUJ obstruction in paediatric patients.…”

Section: Discussionmentioning

confidence: 99%

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A comparative study of outcome of pyeloplasty in stented and non-stented children

2019

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Background: It is a matter of debate whether to use a stent (double J) or not during pyeloplasty in patients of pelvic ureteric junction obstruction (PUJ obstruction). This study was conducted to assess which technique- stented or non-stented is better for paediatric patients with PUJ obstruction.Methods: 45 paediatric patients aged 0-12 years were included in this prospective comparative simple randomized sample study during the period of June 2015 to August 2017 in paediatric surgery division of department of surgery in M.Y. Hospital, Indore. All patients except one underwent open A-H dismembered pyeloplasty. The parameters used for comparison were renal parenchymal diameter, renal pelvis AP diameter, GFR (by DTPA scan) and rate of complications. Minimum follow up period was 3 months.Results: The M:F ratio was 2:1. Stented children had significant improvement in renal parenchymal diameter (i.e. increase) and GFR (of affected kidney) after pyeloplasty, whereas non-stented children too had improvement in renal parenchymal diameter and GFR (affected kidney) but was not significant. The percentage of postoperative complications were more in non-stented group as compared to stented group.Conclusions: In all paediatric cases with PUJO undergoing A-H pyeloplasty, both stenting and non-stenting have similar results and to place a double J stent should depend on choice of surgeon.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

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A comparative study of outcome of pyeloplasty in stented and non-stented children

2019

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“…Even among proponents of urinary diversion, the optimal method remains unclear [59,60] . However, the original report by Anderson and Hynes [61] described a stentless procedure; currently, one can find reports supporting no stents [62][63][64][65] , externalized stents (percutaneous catheter) [66][67][68] , and internalized (JJ) stents [69][70][71] . Th is plethora of studies proves all methods to be safe and effective, but conflicting summaries of the results have not proved any single method as superior [72] .…”

Section: Discussionmentioning

confidence: 99%

“…However, stents may cause infection, stricture due to pressure of a stent over the anastomosis, injury to the anastomosis or renal tissue, bleeding, dislodgement, fragmentation or migration, calculus formation, and may prolong the hospital stay. In addition, internal stents need a second hospital admission and a general anesthetic for removal [63][64][65][66][67][69][70][71] . Nonstenting allo ws early mobilization and freedom from draining tubes [65] .…”

Section: Discussionmentioning

confidence: 99%

Topic Stent versus stentless pyeloplasty in congenital pelvic ureteric junction obstruction kidney in children

Srivastava,

Jaiman,

Kumar

2022

Int. J. Surg. Sci.

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The aim of this study was to compare between stenting and stentless dismembered pyeloplasty as regards outcome, early and late postoperative results, and complications. Background: Ureteropelvic junction obstruction is a common congenital urologic anomaly. Open pyeloplasty is the standard surgical treatment. Drainage following pyeloplasty using a double J stent prevents subsequent stenosis and urine leakage. Patients and Methods: This study was conducted on 50 pediatric patients (maximum age 16 years) with a primary diagnosis of ureteropelvic junction obstruction who were divided into two groups: Group 1, the stented group double J (25 cases). Group 2, the nonstented group (25 cases). Classic Anderson-Hynes pyeloplasty was performed for the two groups. Results: A total of 50 patients were included in the study. 27 (54%) cases were male and 23 (46%) cases were female. Their ages ranged from 6 months to 15 years. The mean ± SD age was 6.75 ± 4.53 years. All cases were unilateral; 25 (50%) cases were right sided and 25 (50%) cases were left sided. Postoperative complications included the following: urinary tract infection in only one case in group 1, residual mild hydronephrosis in only one case in group 1 and three (30%) cases in group 2; clot formation in only one case in group 2, and urinoma in only one case in group 2. Conclusion: Pyeloplasty with a diverting stent is technically feasible and safe. Only risks for multiple anesthesias and economic burden with stent removal are present. The specific indication when stented pyeloplasty needs to be performed is in redo pyeloplasty, solitary kidney, inflamed renal pelvis, and hugely distended renal pelvis.

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Obstruction at the Ureteropelvic Junction

Scardino¹,

Scardino²

1981

The Ureter

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Unsplinted, unstinted, pyeloplasty

Cited by 27 publications

References 6 publications

A comparative study of outcome of pyeloplasty in stented and non-stented children

A comparative study of outcome of pyeloplasty in stented and non-stented children

Topic Stent versus stentless pyeloplasty in congenital pelvic ureteric junction obstruction kidney in children

Obstruction at the Ureteropelvic Junction

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