Early outcome of pediatric pyeloplasty in kidneys with split renal function less than 10%: A prospective study of 25 cases
Publication date: Available online 29 November 2018Source: African Journal of UrologyAuthor(s): A.Y. Abdelaziz, H. Shaker, H. Aly, H. Aldaqados, E.M. HusseinAbstractObjectivesTo detect the outcome of pyeloplasty in kidneys with split renal function (SRF) less than 10% in the pediatric age group.Subjects and methodsWe prospectively analyzed the data from 25 cases of ureteropelvic junction obstruction (UPJO) candidate for pyeloplasty with SRF less than 10%. Abdominopelvic ultrasonography and diuretic renogram using technetium-99 m diethylenetriamine Penta acetic acid (DTPA) were done in all cases. We studied the improvement in pelvic anteroposterior diameter (APD) postoperatively. We compared pre and postoperative SRF after six months and one year.ResultsThe median age was 24 months (3 months–11 years), male to female 2:1. The median preoperative SRF was 5% (range: 0%–10%) and the median APD of the renal pelvis was 3 cm (range: 2.2–5). There was significant improvement of median APD 0.8 cm (range: 0.5–1.9) (P value
The objective of this study is to determine risk factors for transient ureteral obstruction at the time of transvaginal uterosacral ligament vault suspension.
Our primary objective was to evaluate the rate of ureteral compromise (ureteral injury, kinking, need for intraoperative suture release, or identification of ureteral compromise post-operatively) in our institutional experience with laparoscopic uterosacral ligament suspension (L-USLS). Our secondary objective was the rate of recurrent symptomatic prolapse after L-USLS.
Mesh exposure at the vaginal apex is challenging if it is associated with infection. The close proximity of the right ureter, sigmoid colon and rectum during sacrocolpopexy mesh removal can make it very challenging. This presentation helps illuminate these potential pitfalls.
The overall incidence of iatrogenic ureteral injuries caused during operative procedures varies from 0.5 to 5% and is most common during gynecological surgery. Ureteral injury can occur during open surgery, laparoscopy, or endoscopic procedures. Injury to the ureteral can result from devascularization, laceration and most iatrogenic ureteral injuries involve the pelvic ureter. Prevention before detection of a ureteral injury is critical.
This educational video will highlight the ureteral anatomy from a transperitoneal approach with a focus on the learning objectives of the junior learner.
The purpose of this video is to demonstrate our technique for laparoscopic ureteroneocystostomy for complete ureteral transection identified at the time of laparoscopic hysterectomy.
The objective of this video was to demonstrate how to repair middle to distal ureteral injuries that may occur during urologic and gynecologic surgeries with the following techniques: direct ureteroureterostomy, ureteroneocystostomy, vesico-psoas hitch, and Boari-Ockerblad bladder flap.
Present signs and symptoms of a patient with nerve entrapment following ureteral reimplantation. Explain the procedure and steps of robotic reimplantation surgery. Demonstrate management of nerve entrapment after ureteral reimplantation.
In conclusion, the CNN differentiated ureteral stones from phleboliths with higher accuracy than the mean of seven radiologists’ assessments using local features. However, more than local feature s are needed to reach optimal discrimination.
Condition: Nephrolithiasis Interventions: Drug: Mirabegron 50 MG; Drug: Placebo oral tablet Sponsors: St. Michael's Hospital, Toronto; Canadian Urological Association Recruiting