Is routine renography required after pyeloplasty?

The Journal of Urology
Fayez AlmodhenMohamed T El-Sherbiny

Abstract

We assessed whether renography should be performed routinely following pyeloplasty. We identified the records of all patients undergoing pyeloplasty at our hospital between 1989 and 2005. Patients were eligible for the study if they had undergone preoperative ultrasound and renal scan, and postoperative ultrasound and renal scan within 3 months and 1 year postoperatively, respectively. Patients were excluded if they had associated anomalies or high grade reflux. Postoperative downgrading or decompression of the pelvicaliceal dilatation within the same grade was recorded as "improved," while unchanged or worsening hydronephrosis was recorded as "no improvement." All information was obtained from the official radiologist reports rather than from the postoperative surgeon notes. Data obtained from the postoperative renal scan included the presence or absence of obstruction as well as split renal function. We compared postoperative ultrasound and renal scan, as well as changes between preoperative and postoperative split renal function in patients with a normal contralateral kidney. Fisher's exact test was used for comparison. A total of 97 patients who underwent 101 pyeloplasties at a median age of 18 months were eligible for revi...Continue Reading

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Citations

Aug 1, 2012·Journal of Pediatric Urology·Zachary J LissGeorge F Steinhardt
Dec 4, 2012·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Rishi NayyarRajeev Sood
Jun 26, 2015·Journal of Pediatric Urology·V V S Chandrasekharam
Jan 15, 2013·The Journal of Urology·Ahmed M HarrazAshraf T Hafez
Apr 16, 2016·The Indian Journal of Radiology & Imaging·Gyanendra SharmaWinnie Chiu-Wing Chu
Sep 1, 2015·Journal of Pediatric Surgery·V V S Chandrasekharam
Apr 15, 2015·The Journal of Urology·Ryan S HsiJonathan D Harper
Jan 16, 2014·The Journal of Urology·Ryan S HsiJonathan D Harper
Aug 25, 2016·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Manoj KumarM S Ansari
Jul 3, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Jae Hyeon HanKun Suk Kim
Oct 16, 2021·Urologia·Marta BiancoUNKNOWN Working Group on Pediatric Urology and Italian Society of Urology

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