Pyeloplasty vs. nephrectomy for ureteropelvic junction obstruction in poorly functioning kidneys (differential renal function <20%): a multicentric study

Management of poorly functioning kidneys with ureteropelvic junction obstruction (UPJO) is controversial, with some recommending direct nephrectomy and others direct pyeloplasty, and others temporary diversion. This study aimed to determine whether pyeloplasty is associated with higher complication...

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Bibliographic Details
Published in:Journal of pediatric urology 2019-10, Vol.15 (5), p.553.e1-553.e8
Main Authors: Gnech, M., Berrettini, A., Lopes, R.I., Moscardi, P., Esposito, C., Zucchetta, P., Dénes, F.T., Manzoni, G., Braga, L.H., Castagnetti, M.
Format: Article
Language:English
Subjects:
Children
Nephrectomy
Poorly functioning kidneys
Pyeloplasty
Ureteropelvic junction obstruction (UPJO)
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Summary:Management of poorly functioning kidneys with ureteropelvic junction obstruction (UPJO) is controversial, with some recommending direct nephrectomy and others direct pyeloplasty, and others temporary diversion. This study aimed to determine whether pyeloplasty is associated with higher complication rate than nephrectomy under these circumstances and whether it allows for functional recovery. A retrospective review of 77 patients undergoing surgery for UPJO associated with a differential renal function (DRF) 
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2019.05.032