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Uretero-pelvic stenosis.

H P Graversen1, T Tofte, H G Genster

  • 1Sønderborg Sygehus, Department of Surgical Urology K, Denmark.

International Urology and Nephrology
|January 1, 1987
PubMed
Summary
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This study on uretero-pelvic stenosis found dismembered pyeloplasty with nephrostomy effective, curing 85% of patients with genuine hydronephrosis within 12 months. The procedure is recommended for this condition.

Area of Science:

  • Pediatric Urology
  • Surgical Outcomes
  • Nephrology

Background:

  • Uretero-pelvic stenosis, also known as genuine hydronephrosis, affects approximately 5:100,000 inhabitants annually.
  • This condition presents a higher incidence in boys under 10 years of age.

Purpose of the Study:

  • To evaluate the clinical outcomes of dismembered pyeloplasty with postoperative nephrostomy in patients with uretero-pelvic stenosis.
  • To assess the efficacy and safety of this surgical technique for treating genuine hydronephrosis.

Main Methods:

  • A prospective study involving 66 patients diagnosed with uretero-pelvic stenosis.
  • Treatment involved dismembered pyeloplasty combined with postoperative nephrostomy.
  • Clinical data and treatment results were systematically registered and followed up for 12 months.

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Main Results:

  • 85% of patients achieved a cure, characterized by symptom resolution and normal renal pelvis drainage 12 months post-surgery.
  • Only 5% of cases (3 patients) had unsatisfactory outcomes.
  • While routine antimicrobial prophylaxis was not administered, postoperative urinary tract infections were infrequent, though bacteriuria in nephrostomy catheters was common.

Conclusions:

  • Dismembered pyeloplasty with postoperative nephrostomy is a highly effective treatment for uretero-pelvic stenosis.
  • The technique demonstrates a favorable success rate and can be recommended for managing genuine hydronephrosis.