Comparison of percutaneous endopyelotomy with open pyeloplasty for pediatric ureteropelvic junction obstruction

Emmanuel M. Schenkman, William F. Tarry

    Research output: Contribution to journalArticle

    24 Citations (Scopus)

    Abstract

    Purpose: Percutaneous endopyelotomy has been shown to be effective in the management of ureteropelvic junction obstruction in adults and secondary ureteropelvic junction obstruction in children. There are little published data regarding endopyelotomy as a primary treatment in children. Materials and Methods: During 3 years we performed 8 endopyelotomies and 20 open pyeloplasties for primary ureteropelvic junction obstruction and compared the results. Preoperative ureteropelvic junction obstruction was detected by renal ultrasound, excretory urogram (IVP) or renal scan. All patients were followed 1.5 to 3 years postoperatively. The success of the procedure was determined by excretory urogram, renal scan or the absence of clinical findings, with 1 failure in each group. Results: The overall success rates for endopyelotomy and open pyeloplasty were 88% and 93%, respectively. Hospital stays were essentially equal between the groups but operative time and hospital costs were higher for endopyelotomy. Conclusions: Endopyelotomy may be performed effectively for primary ureteropelvic junction obstruction in children but with increased costs.

    Original languageEnglish (US)
    Pages (from-to)1013-1015
    Number of pages3
    JournalJournal of Urology
    Volume159
    Issue number3
    DOIs
    StatePublished - Mar 1998

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    Urography
    Pediatrics
    Kidney
    Hospital Costs
    Operative Time
    Length of Stay
    Costs and Cost Analysis
    Therapeutics

    Keywords

    • Hydronephrosis
    • Kidney
    • Ureteral obstruction

    ASJC Scopus subject areas

    • Urology

    Cite this

    Comparison of percutaneous endopyelotomy with open pyeloplasty for pediatric ureteropelvic junction obstruction. / Schenkman, Emmanuel M.; Tarry, William F.

    In: Journal of Urology, Vol. 159, No. 3, 03.1998, p. 1013-1015.

    Research output: Contribution to journalArticle

    Schenkman, Emmanuel M. ; Tarry, William F. / Comparison of percutaneous endopyelotomy with open pyeloplasty for pediatric ureteropelvic junction obstruction. In: Journal of Urology. 1998 ; Vol. 159, No. 3. pp. 1013-1015.
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    N2 - Purpose: Percutaneous endopyelotomy has been shown to be effective in the management of ureteropelvic junction obstruction in adults and secondary ureteropelvic junction obstruction in children. There are little published data regarding endopyelotomy as a primary treatment in children. Materials and Methods: During 3 years we performed 8 endopyelotomies and 20 open pyeloplasties for primary ureteropelvic junction obstruction and compared the results. Preoperative ureteropelvic junction obstruction was detected by renal ultrasound, excretory urogram (IVP) or renal scan. All patients were followed 1.5 to 3 years postoperatively. The success of the procedure was determined by excretory urogram, renal scan or the absence of clinical findings, with 1 failure in each group. Results: The overall success rates for endopyelotomy and open pyeloplasty were 88% and 93%, respectively. Hospital stays were essentially equal between the groups but operative time and hospital costs were higher for endopyelotomy. Conclusions: Endopyelotomy may be performed effectively for primary ureteropelvic junction obstruction in children but with increased costs.

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    KW - Hydronephrosis

    KW - Kidney

    KW - Ureteral obstruction

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