Functional Outcome after Pyeloplasty in Children: Impact of the Cause of Obstruction and of the Mode of Presentation

Objective: To compare functional outcome after pyeloplasty in two groups of patients affected by hydronephrosis, which had different modalities of diagnosis. The first, asymptomatic, detected by prenatal ultrasonography and the second referred later because of clinical symptoms. Patients and Methods...

Full description

Saved in:
Bibliographic Details
Published in:European urology 2003-06, Vol.43 (6), p.706-710
Main Authors: Calisti, A., Perrotta, M.L., Oriolo, L., Patti, G., Marrocco, G., Miele, V.
Format: Article
Language:English
Subjects:
Antenatal diagnosis
Biological and medical sciences
Child
Child, Preschool
Female
Humans
Hydronephrosis
Hydronephrosis - diagnostic imaging
Hydronephrosis - surgery
Infant
Kidney Pelvis - abnormalities
Kidney Pelvis - surgery
Male
Medical sciences
Pelviureteric junction obstruction
Recovery of function
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Treatment Outcome
Ultrasonography, Prenatal
Ureteral Obstruction - diagnostic imaging
Ureteral Obstruction - physiopathology
Ureteral Obstruction - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: To compare functional outcome after pyeloplasty in two groups of patients affected by hydronephrosis, which had different modalities of diagnosis. The first, asymptomatic, detected by prenatal ultrasonography and the second referred later because of clinical symptoms. Patients and Methods: 84 patients (54 prenatally detected and 30 symptomatic) among 339 observed with hydronephrosis, operated in a single centre for ureteropelvic junction obstruction, have been retrospectively studied. Seventeen cases with prenatal diagnosis had an early treatment and thirty-seven were operated on after an initial observation. Symptomatic cases were all operated on at diagnosis. Ultrasonographic and renographic assessment were made at diagnosis, before and after surgery. Results: Renal function of prenatally detected cases was not influenced by early or delayed surgery. Insignificant functional loss was recorded among some cases operated after conservative management. Improvement in differential renal function ( p
ISSN:0302-2838
1873-7560
DOI:10.1016/S0302-2838(03)00144-1