| Autor: |
Mungia, M. M., Mteta, A. K., Mbwambo, J. S., Bright, F., Ngowi, B. N. |
| Předmět: |
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| Zdroj: |
East African Medical Journal; Apr2019, Vol. 96 Issue 4, p2600-2606, 7p |
| Abstrakt: |
Objectives: The study aimed at describing presentation and early surgical outcomes of patients with pelvic ureteric junction obstruction in northern zone of Tanzania. Methods: This was a hospital based descriptive, retrospective study conducted from January 2005-August 2014 using structures data extraction form. All Data from the time of presentation to the KCMC hospital up to three-month post pyeloplasty were extracted from eligible patients. In this study success rate was defined as the percentage of subjects who fared well post pyeloplasties, without being re-operated due to the same diagnosis (PUJO) within three months after pyeloplasty. Results: The study involved 24 subjects with mean age of 28 years. Majorities were men 14 (58.3%) and flank pain being the main presenting complaint 21 (87.5%), followed by flank mass 5 (20.8%). The most common cause of PUJO was primary intrinsic (narrowing) of Pelvic Ureteric Junction (PUJ) 19 (79.2%) with right side being most affected site. All subjects, 24 (100%) had various open surgical intervention with dismembered pyeloplasty only being the common surgical procedure 16(66.7%). Five (20.8%) subjects developed different complication; persistent pain being the common complication in two subjects. Four of five subjects who developed complication had undergone dismembered pyeloplasty. Conclusion: PUJO has male predominance in our centre with the most common presenting symptom being flank pain followed by flank mass. Congenital intrinsic stenosis/narrowing at PUJ is the common cause of PUJO. Open Anderson-Hynes dismembered pyeloplasty is the commonest procedure in our centre which has 100% success rate. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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