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Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction
BACKGROUND: Anderson-Hynes dismembered pyeloplasty is the gold standard therapeutic approach to ureteropelvic junction obstruction (UPJO). Use of a drainage method to protect the suture line from leakage is a matter of controversy. OBJECTIVES: We have compared the surgical outcome of Anderson-Hynes...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450164/ https://www.ncbi.nlm.nih.gov/pubmed/26034744 http://dx.doi.org/10.5812/numonthly.21800 |
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author | Yarmohamadi, Aliasghar Saeedi, Parisa Hoghabrosadat, Amir |
author_facet | Yarmohamadi, Aliasghar Saeedi, Parisa Hoghabrosadat, Amir |
author_sort | Yarmohamadi, Aliasghar |
collection | PubMed |
description | BACKGROUND: Anderson-Hynes dismembered pyeloplasty is the gold standard therapeutic approach to ureteropelvic junction obstruction (UPJO). Use of a drainage method to protect the suture line from leakage is a matter of controversy. OBJECTIVES: We have compared the surgical outcome of Anderson-Hynes dismembered pyeloplasty for UPJO repair, with or without internal stenting. PATIENTS AND METHODS: Eighty-two patients with UPJO were evaluated from 1996 to 2002. Complicated or emergent cases were excluded. Classic standard dismembered pyeloplasty was performed. Internal drainage, with a double j catheter, was performed in several patients, randomly. Another drain was also placed in the retroperitoneal space. The follow-up of patients was planned weekly, with patient visits and urine analysis and intravenous pyelography (IVP) and diethylene-triamine-pentaacetate (DTPA) scan after one month. RESULTS: The study group consisted of 51 male and 31 female patients, who were mostly in the age range of 20 - 40 years. Comparing the two techniques of pyeloplasty with or without internal drainage, there was no significant difference between groups regarding extravasation and anastomosis complications, such as leakage, stenosis, urinoma formation or evidence of obstruction on postoperative IVP or DTPA scan. However, a higher incidence of catheter related urinary symptoms and flank pain was reported among those with internal stent. CONCLUSIONS: Pyeloplasty, with adequate spatulation, hemostasis and a watertight anastomosis, represents the mainstay of successful pyeloplasty and there may be no significant benefit for urethral stenting, especially in non-complicated cases. |
format | Online Article Text |
id | pubmed-4450164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-44501642015-06-01 Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction Yarmohamadi, Aliasghar Saeedi, Parisa Hoghabrosadat, Amir Nephrourol Mon Research Article BACKGROUND: Anderson-Hynes dismembered pyeloplasty is the gold standard therapeutic approach to ureteropelvic junction obstruction (UPJO). Use of a drainage method to protect the suture line from leakage is a matter of controversy. OBJECTIVES: We have compared the surgical outcome of Anderson-Hynes dismembered pyeloplasty for UPJO repair, with or without internal stenting. PATIENTS AND METHODS: Eighty-two patients with UPJO were evaluated from 1996 to 2002. Complicated or emergent cases were excluded. Classic standard dismembered pyeloplasty was performed. Internal drainage, with a double j catheter, was performed in several patients, randomly. Another drain was also placed in the retroperitoneal space. The follow-up of patients was planned weekly, with patient visits and urine analysis and intravenous pyelography (IVP) and diethylene-triamine-pentaacetate (DTPA) scan after one month. RESULTS: The study group consisted of 51 male and 31 female patients, who were mostly in the age range of 20 - 40 years. Comparing the two techniques of pyeloplasty with or without internal drainage, there was no significant difference between groups regarding extravasation and anastomosis complications, such as leakage, stenosis, urinoma formation or evidence of obstruction on postoperative IVP or DTPA scan. However, a higher incidence of catheter related urinary symptoms and flank pain was reported among those with internal stent. CONCLUSIONS: Pyeloplasty, with adequate spatulation, hemostasis and a watertight anastomosis, represents the mainstay of successful pyeloplasty and there may be no significant benefit for urethral stenting, especially in non-complicated cases. Kowsar 2015-03-20 /pmc/articles/PMC4450164/ /pubmed/26034744 http://dx.doi.org/10.5812/numonthly.21800 Text en Copyright © 2015, Nephrology and Urology Research Center. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. |
spellingShingle | Research Article Yarmohamadi, Aliasghar Saeedi, Parisa Hoghabrosadat, Amir Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction |
title | Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction |
title_full | Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction |
title_fullStr | Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction |
title_full_unstemmed | Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction |
title_short | Surgical Results of Anderson-Hynes Dismembered Pyeloplasty Without Internal Drainage in Adults With Ureteroplevic Junction Obstruction |
title_sort | surgical results of anderson-hynes dismembered pyeloplasty without internal drainage in adults with ureteroplevic junction obstruction |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450164/ https://www.ncbi.nlm.nih.gov/pubmed/26034744 http://dx.doi.org/10.5812/numonthly.21800 |
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