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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

Insights

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.

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.

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