Long-Term Outcomes of Pyeloplasty in Children with Poorly Functioning Kidneys

Autor: Ayşe Başak Uçan, Gökben Yaslı, Müge Şahin, Özkan Okur, Arzu Şencan
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Urological Surgery, Vol 10, Iss 4, Pp 301-306 (2023)
Druh dokumentu: article
ISSN: 2148-9580
DOI: 10.4274/jus.galenos.2023.2023-8-6
Popis: Objective: This study aimed to determine the efficacy and long-term outcomes of pyeloplasty in children with poorly functioning kidneys. Materials and Methods: Twenty-six patient charts were reviewed who underwent pyeloplasty with poorly functioning kidneys from 2008 to 2020. Patients were divided into two groups based on DRF; Group 1: 0-10%, and Group 2: between 10-30%. Patient demographics, preoperative and postoperative anteroposterior diameter (APD), parenchymal renal thickness (PT) ratio, and differential renal function (DF) were analyzed to confirm the postoperative benefits and potential predictors of renal functional recoverability. The parameters of patients younger than one year of age were also compared to those of older patients. Results: The renal function of 12 of 26 patients’ was 0.0001). The postoperative PT ratio and postoperative DF were increased in Group II, but not in Group I. DF and PT ratios also improved in Group II in patients younger than 1 year of age (p=0.014, p=0.032 respectively). Hypertension was detected in 5 patients (41.6%) during follow-up in Group I. Conclusion: Pyeloplasty is recommended considering parenchymal and DF recovery in patients younger than 1 year of age with a DF of 10-30%. However, in patients with
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