Ureterovascular Hydronephrosisin Chil dren: Is Pyeloplasty Always Necessary?
| Autor: | Luciano Musi, Paolo Campobasso, L. Costa, F. Battaglino, Ciro Pesce |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Pyeloplasty Adolescent Urology medicine.medical_treatment Hydronephrosis Renal Artery medicine Humans Kidney Pelvis Child Ultrasonography business.industry Infant Urography Prognosis medicine.disease Surgery Treatment Outcome Child Preschool Urologic Surgical Procedures Female Ureter Congenital disease business Follow-Up Studies Ureteral Obstruction Kidney disease |
| Zdroj: | European Urology. 36:71-74 |
| ISSN: | 1421-993X 0302-2838 |
| DOI: | 10.1159/000019930 |
| Popis: | To evaluate the efficacy of the vessel transposition technique in ureterovascular hydronephrosis in children.Over a 25-year period, we treated 111 patients with 112 instances of ureterovascular hydronephrosis. In order to determine the obstructive effect of the vessels, we performed an intraoperative diuretic test. Using this approach, 61 patients judged to have only vascular pyeloureteral junction obstruction underwent vessel transposition. However, 50 patients in whom the intraoperative diuretic test proved doubtful needed pyeloplasty.Surgical success was achieved in 98% of the patients. Only 1 child treated by vessel transposition had an unsatisfactory outcome which necessitated a subsequent pyeloplasty for persistent hydronephrosis. This was due to a previously unrecognized intrinsic pyeloureteral junction obstruction.Based on our clinical experience, the intraoperative diuretic test has proven to be a safe and effective diagnostic tool in children with ureterovascular hydronephrosis. Its use may contribute to treating some cases of ureterovascular hydronephrosis without resorting to pyeloplasty. |
| Databáze: | OpenAIRE |
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