| Autor: |
Domínguez Bravo C; Servicio de Urología, Hospital Infanta Cristina, Insalud, España., Soler Fernández JM, Asuar Aydillo S, Gómez de Tejada R, Herrera Puerto J |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Actas urologicas espanolas [Actas Urol Esp] 1990 Mar-Apr; Vol. 14 (2), pp. 115-20. |
| Abstrakt: |
This paper is a review of 63 cases of congenital Pyeloureteral Union Syndrome. A total of 47 patients were treated using the Anderson-Hynes reconstructive technique with 3-4 years follow-up. Incidence was analyzed by sex, age and side affected, without a clear predominance of one over the others being shown. Mean age at the time of diagnosis was 39-43 years. The predominant symptom is the presence of lumbo-abdominal pain (36.5%) but the lack of clinical symptoms is also frequent (25.3%). Pyelocalyceal lithiasis is the most frequent secondary pathology (28.5%). U.I.V. appears to be an irreplaceable means for diagnosis, achieving with this technique 93.6% of diagnosis. Hydronephrosis, in different degrees, and absence of ureteral contrast are the urographic signs most commonly found: 66% and 61% respectively. Using the Anderson-Hynes technique a rete of 85% good results can be obtained, with few complications and achieving disappearance of clinical symptoms and morphofunctional normality in a high percentage. Anderson-Hynes dismembered ureteropyeloplasty seems to be the choice technique for conservative surgical treatment of the P.U.U. syndrome. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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