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Related Concept Videos

Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

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Related Experiment Video

Updated: May 7, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Is routine stenting necessary in pyeloplasty?

M C Uygur1, A Sahin, S Tekgül

  • 1Faculty of Medicine, Department of Urology, Hacettepe University, Ankara, Turkey.

Pediatric Surgery International
|September 24, 2013
PubMed
Summary
This summary is machine-generated.

For pediatric ureteropelvic junction obstruction, open pyeloplasty is standard. This study found no difference in outcomes with or without stents, but unstented cases had shorter hospital stays, suggesting routine stenting may not be necessary.

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Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

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Last Updated: May 7, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Area of Science:

  • Pediatric Urology
  • Surgical Procedures
  • Urologic Oncology

Background:

  • Ureteropelvic junction (UPJ) obstruction is a common cause of hydronephrosis in children.
  • Open pyeloplasty remains the gold standard surgical repair for UPJ obstruction.
  • The necessity and impact of using stents during open pyeloplasty are debated among pediatric urologists.

Purpose of the Study:

  • To evaluate the impact of stent usage during open pyeloplasty in pediatric patients.
  • To compare hospital stay, complication rates, and success rates between stented and unstented pyeloplasty.
  • To determine if routine stenting is essential for successful pediatric pyeloplasty.

Main Methods:

  • Retrospective review of pediatric open pyeloplasty cases.
  • Analysis of 28 stented and 15 unstented procedures.
  • Comparison of outcomes including hospital stay, early/late complications, and success rates.

Main Results:

  • No significant differences were observed in early or late complication rates between stented and unstented groups.
  • Success rates for pyeloplasty were comparable regardless of stent usage.
  • Hospital stay was significantly shorter in the group of patients who did not receive a stent.

Conclusions:

  • Routine stenting in pediatric open pyeloplasty is not universally necessary.
  • Stent omission may lead to reduced hospital stay without compromising outcomes.
  • Careful surgical technique to ensure a perfect anastomosis is paramount, potentially obviating the need for a stent.