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[Results of pyeloplasty in children (author's transl)]
Insights
The Anderson-Hynes pyeloplasty is effective for treating pediatric pyeloureteral junction obstruction, with 80% of patients showing good results. This surgical approach removes damaged ureter segments, improving outcomes for children with this condition.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Renal Tract Obstruction
Context:
- Pyeloureteral junction (PUJ) obstruction is a common cause of congenital hydronephrosis in children.
- Surgical correction is the primary treatment for symptomatic PUJ obstruction.
- Evaluating surgical outcomes and techniques is crucial for pediatric urologists.
Purpose:
- To present the results of surgical correction for 47 children with pyeloureteral junction stenosis.
- To compare the efficacy of the Anderson-Hynes technique versus the Culp-de Weerd technique.
- To discuss the etiology, diagnostic procedures, and surgical indications for PUJ obstruction.
Summary:
- The Anderson-Hynes pyeloplasty was performed on 47 children with PUJ obstruction, with 80% demonstrating good postoperative radiographic results.
- The Culp-de Weerd technique was used in 10 patients, achieving good results in six.
- Postoperative sterile urine was observed in two-thirds of patients; however, some cases required secondary nephrectomy, and follow-up was insufficient in some instances.
Impact:
- The Anderson-Hynes technique is preferred for its removal of compromised ureter segments, leading to favorable outcomes in most pediatric PUJ obstruction cases.
- This study provides valuable data for surgical decision-making in pediatric urology.
- Highlights the need for adequate postoperative follow-up to fully assess long-term results.
Abstract:
The results of 47 surgically corrected cases of stenosis of the pyelo-ureteral junction in children are presented. The method of Anderson-Hynes is preferred because of the removal of the functionally and morphologically damaged ureter-segment. In 80% of the cases the postoperative x-ray demonstrated a good result. Some of the other patients required a secondary nephrectomy. In 10 patients the technique of Culp-de Weerd was used. Six patients showed good results. Postoperatively the urine was sterile in 2/3 of the examined children. In some of the patients the postoperative follow-up was insufficient Etiology. Diagnostic procedure and indication for surgery are discussed.