E-ISSN 2534-9821
 

Original Research 


Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term

Arshad Jamal, Rana Pratap Singh.

Abstract
Objective: The most typical type of obstruction in the upper urinary tract is ureteropelvic junction obstruction or UPJO. The objective of this study was to assess the effectiveness and long-term results of pyeloplasty in children with poorly functioning kidneys.
Method: Patients who underwent pyeloplasty at Department of Urology, Rajendra Institute of Medical Science, Ranchi for last twelve years were the subject of a retrospective data study. Postoperative outcome was the parameter under study. Success was measured by either symptom improvement or better drainage on postoperative Tc-99m DTPA renography, which was performed after two months and then yearly after that.
Results: 60 individuals were enrolled in the study, with a mean age of 8.5 years (3 months to 12 years), a male-to-female ratio of 2:1, and poor function on the isotope renogram (31%). The ratio of left to right sides was 1.2:1. All patients had dismembered pyeloplasty procedures. 37 patients (66.8%) underwent laparoscopic pyeloplasty, whereas 23 (33.2%) underwent open surgery. 35 patients had follow-up renograms available; of these, 30 showed improved drainage and no further decline in renal function, while 5 displayed an obstructed pattern; of these, 3 patients had noticeably worsened split function, and the other two underwent a second open pyeloplasty. A mean follow-up of 21.5 months revealed a 91% overall success rate.
Conclusion: In the pediatric age group, pyeloplasty provides satisfactory intermediate results in kidneys with inadequate function.

Key words: pyeloplasty; ineffective kidneys; paediatric


 
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Pubmed Style

Jamal A, Singh RP, . Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. Int J Med Rev Case Rep. 2023; 7(3): 72-75. doi:10.5455/IJMRCR.172-1683360291


Web Style

Jamal A, Singh RP, . Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. https://www.mdpub.net/?mno=152312 [Access: December 18, 2023]. doi:10.5455/IJMRCR.172-1683360291


AMA (American Medical Association) Style

Jamal A, Singh RP, . Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. Int J Med Rev Case Rep. 2023; 7(3): 72-75. doi:10.5455/IJMRCR.172-1683360291



Vancouver/ICMJE Style

Jamal A, Singh RP, . Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. Int J Med Rev Case Rep. (2023), [cited December 18, 2023]; 7(3): 72-75. doi:10.5455/IJMRCR.172-1683360291



Harvard Style

Jamal, A., Singh, R. P. & (2023) Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. Int J Med Rev Case Rep, 7 (3), 72-75. doi:10.5455/IJMRCR.172-1683360291



Turabian Style

Jamal, Arshad, Rana Pratap Singh, and . 2023. Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. International Journal of Medical Reviews and Case Reports, 7 (3), 72-75. doi:10.5455/IJMRCR.172-1683360291



Chicago Style

Jamal, Arshad, Rana Pratap Singh, and . "Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term." International Journal of Medical Reviews and Case Reports 7 (2023), 72-75. doi:10.5455/IJMRCR.172-1683360291



MLA (The Modern Language Association) Style

Jamal, Arshad, Rana Pratap Singh, and . "Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term." International Journal of Medical Reviews and Case Reports 7.3 (2023), 72-75. Print. doi:10.5455/IJMRCR.172-1683360291



APA (American Psychological Association) Style

Jamal, A., Singh, R. P. & (2023) Effects Of Pyeloplasty in Infants with Failing Kidneys Over the Long Term. International Journal of Medical Reviews and Case Reports, 7 (3), 72-75. doi:10.5455/IJMRCR.172-1683360291