Related Experiment Videos
[Pyeloplasty in infants and children]
Acta Chirurgica Academiae Scientiarum Hungaricae
|January 1, 1981
Summary
Pyeloureteral obstructions are effectively diagnosed with intravenous urography and angiography. Surgical intervention, specifically pyeloplasty, offers good to satisfactory outcomes for these conditions, with minimal risk.
Area of Science:
- Urology
- Pediatric Urology
- Nephrology
Background:
- Pyeloureteral obstructions present diverse etiologies and complications.
- Accurate diagnosis is crucial for effective management.
Purpose of the Study:
- To evaluate diagnostic methods for pyeloureteral obstructions.
- To assess the outcomes of pyeloplasty for these conditions.
Main Methods:
- Intravenous urography and angiography were utilized for diagnosis.
- Pyeloplasty involving excision of the pyeloureteral boundary, splinting, and transrenal drain placement was performed.
- Follow-up included one-year and three-year intravenous urographic examinations.
Main Results:
- Intravenous urography and angiography proved effective for visualization.
- Pyeloplasty yielded good results in 72% and satisfactory in 19% of 100 cases.
- Secondary nephrectomy was required in only one case, indicating a low complication rate.
Conclusions:
- Pyeloplasty is a safe and effective procedure for pyeloureteral obstructions.
- Early surgical intervention is recommended when calyceal distension or parenchymal lesions are present.
- Conservative management, including nephrectomy, should be reserved for non-functional kidneys.