Hydronephrosis: Comparison of extrinsic vessel versus intrinsic ureteropelvic junction obstruction groups and a plea against the vascular hitch procedure

Journal of Pediatric Urology
Prema MenonBhagwant R Mittal

Abstract

Pediatric ureteropelvic junction obstruction (UPJO) due to an extrinsic crossing vessel (CV) is rare and often remains undiagnosed preoperatively. Vascular hitch procedures are often performed as associated intrinsic obstruction is not expected. We compared data and intravenous urography (IVU) findings of patients with aberrant CV versus those with intrinsic UPJO, all undergoing open dismembered pyeloplasty. Is accurate pre-operative diagnosis of aberrant CV causing extrinsic UPJO possible? To assess differences in the demographic, clinical, radiological, intra-operative features and postoperative improvement after pyeloplasty between patients with a CV and those with only intrinsic UPJO. Prospective study of all children below 12 years with UPJO presenting to a tertiary referral centre and who underwent open Anderson - Hynes dismembered pyeloplasty between 2003 and 2013 was conducted. Pre-operative investigations included serial ultrasonography, renal dynamic [ethylene di-cysteine (EC)] scan and IVU. These were repeated 3 months after pyeloplasty. Pre-operative IVUs of children with CV were compared with the IVUs of an equal number of similar aged children, randomly selected from the intrinsic obstruction group. Pyeloplasty wa...Continue Reading

References

Jun 9, 2009·Pediatric Surgery International·Hans-Walter HackerJoerg Fuchs
Jun 11, 2010·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Ruchir MaheshwariRakesh Kapoor

❮ Previous
Next ❯

Citations

Mar 13, 2016·Current Urology Reports·Marshall C Strother, Phillip Mucksavage
May 21, 2019·Journal of Indian Association of Pediatric Surgeons·Prema Menon, Katragadda Lakshmi Narasimha Rao
Jul 28, 2018·Journal of Indian Association of Pediatric Surgeons·Alisha GuptaVeereshwar Bhatnagar

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Inflammation

Inflammation plays a significant role in the development of cardiovascular diseases, an understanding of these endogenous processes is critical for evaluating the risks and potential treatment strategies. Discover the latest research on cardiovascular inflammation here.

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.

Related Papers

La Pediatria medica e chirurgica : Medical and surgical pediatrics
M ZamparelliA Martino
International Journal of Urology : Official Journal of the Japanese Urological Association
Raanan TalPinhas M Livne
© 2021 Meta ULC. All rights reserved