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Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger

BACKGROUND: Pyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss’s procedure at the Zinder National Hospital.. METHODS: This was a retrospective study from January 2013 to December 2016...

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Autores principales: Adamou, Harissou, Amadou Magagi, Ibrahim, Halidou, Maazou, Diongolé, Hassane, Doutchi, Mahamadou, Habou, Oumarou, Ganiou, Kabirou, Soumana, Amadou, Sani, Rachid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813106/
https://www.ncbi.nlm.nih.gov/pubmed/31646995
http://dx.doi.org/10.1186/s12893-019-0609-2
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author Adamou, Harissou
Amadou Magagi, Ibrahim
Halidou, Maazou
Diongolé, Hassane
Doutchi, Mahamadou
Habou, Oumarou
Ganiou, Kabirou
Soumana, Amadou
Sani, Rachid
author_facet Adamou, Harissou
Amadou Magagi, Ibrahim
Halidou, Maazou
Diongolé, Hassane
Doutchi, Mahamadou
Habou, Oumarou
Ganiou, Kabirou
Soumana, Amadou
Sani, Rachid
author_sort Adamou, Harissou
collection PubMed
description BACKGROUND: Pyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss’s procedure at the Zinder National Hospital.. METHODS: This was a retrospective study from January 2013 to December 2016 (4 years), including patients who have undergone surgery for PUJS. RESULTS: Twelve (12) cases of PUJS had a surgery among which 66.7% were men with an average age of 32.5 ± 7.6 years. The clinical symptomatology was lumbar pain or renal colic in 92.3% of cases. This pain had evolved for more than 2 years for 58.3% of the cases. Ultrasound coupled with intravenous urography or CT-scan was performed to confirm the diagnosis of PUJS in 58.3 and 41.7% of cases. The average serum creatinine level at admission was 181.25 ± 67.3 μmol/L [Lab reference range: 53–97 μmol/L]. The Anderson-Hynes non dismembered pyeloplasty is used for all the patients. The release of a crossing lower pole vessel was performed in 25%, pyelolithotomy in 16.7%. The average surgery time was 118.3 ± 20.7 min. The average hospital length of stay was 10.8 ± 3 days. Immediate postoperative complications were recorded in 33.3% (n = 4). Postoperative outcomes were considered good by disappearance of clinical, biological and radiological signs. CONCLUSION: The Anderson-Hynes non dismembered pyeloplasty gives good results and provides a successful alternative in an environment where laparoscopy and robotic surgery are not developed.
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spelling pubmed-68131062019-10-30 Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger Adamou, Harissou Amadou Magagi, Ibrahim Halidou, Maazou Diongolé, Hassane Doutchi, Mahamadou Habou, Oumarou Ganiou, Kabirou Soumana, Amadou Sani, Rachid BMC Surg Research Article BACKGROUND: Pyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss’s procedure at the Zinder National Hospital.. METHODS: This was a retrospective study from January 2013 to December 2016 (4 years), including patients who have undergone surgery for PUJS. RESULTS: Twelve (12) cases of PUJS had a surgery among which 66.7% were men with an average age of 32.5 ± 7.6 years. The clinical symptomatology was lumbar pain or renal colic in 92.3% of cases. This pain had evolved for more than 2 years for 58.3% of the cases. Ultrasound coupled with intravenous urography or CT-scan was performed to confirm the diagnosis of PUJS in 58.3 and 41.7% of cases. The average serum creatinine level at admission was 181.25 ± 67.3 μmol/L [Lab reference range: 53–97 μmol/L]. The Anderson-Hynes non dismembered pyeloplasty is used for all the patients. The release of a crossing lower pole vessel was performed in 25%, pyelolithotomy in 16.7%. The average surgery time was 118.3 ± 20.7 min. The average hospital length of stay was 10.8 ± 3 days. Immediate postoperative complications were recorded in 33.3% (n = 4). Postoperative outcomes were considered good by disappearance of clinical, biological and radiological signs. CONCLUSION: The Anderson-Hynes non dismembered pyeloplasty gives good results and provides a successful alternative in an environment where laparoscopy and robotic surgery are not developed. BioMed Central 2019-10-23 /pmc/articles/PMC6813106/ /pubmed/31646995 http://dx.doi.org/10.1186/s12893-019-0609-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Adamou, Harissou
Amadou Magagi, Ibrahim
Halidou, Maazou
Diongolé, Hassane
Doutchi, Mahamadou
Habou, Oumarou
Ganiou, Kabirou
Soumana, Amadou
Sani, Rachid
Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
title Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
title_full Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
title_fullStr Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
title_full_unstemmed Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
title_short Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
title_sort surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of zinder national hospital, niger
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813106/
https://www.ncbi.nlm.nih.gov/pubmed/31646995
http://dx.doi.org/10.1186/s12893-019-0609-2
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