| Outcome study of upper pole heminephroureterectomy in children. | |
| | |
MedLine Citation:
|
PMID: 21069568 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: We assessed the role and long-term outcome of upper pole heminephroureterectomy in the treatments of non-functioning upper renal moieties in children with duplex kidneys. METHODS: In a period of 10 years, forty-three patients (male: female ratio 6:37) underwent upper pole heminephroureterectomy; a total of 25 patients were diagnosed prenatally. Imaging modalities included renal and bladder ultrasound in all 43 patients, static 99 m technetium dimercaptosuccinic acid (DMSA) in 21 patients, micturating cystourethrogram in 28 patients, MAG-3 in 13, cystoscopy in 30, IVU in 31 and DTPA, retrograde pyelography, antegrade pyelography in 1 patient. The main presentation was with urinary tract infections. Operation was performed through a combination of anterolateral loin incision plus right or left inguinal incision in 34 patients and high flank incision in 9 patients, for various abnormalities. One patient underwent also initial puncture of a ureterocele. RESULTS: Five patients (12%) had immediate post-operative complications. Thirteen patients (30%) had late post-operative complications. Long-term follow-up revealed no complication in 35 (81%) patients and one (2%) patient had one episode of UTI and intermittent abdominal pain. Three patients (7%) had long-term incontinence. Four patients (9%) had a second procedure performed. CONCLUSION: Based on our experience, it seems that upper pole heminephroureterectomy is the treatment of choice in cases of obstructed upper segments of duplicated kidneys, when the affected segment contributes to less than 10% of the overall renal function. |
| | |
Authors:
|
George Sakellaris; Sisil Kumara; Raimondo M Cervellione; Alan P Dickson; David Gough; Supul Hennayake |
Related Documents
:
|
9580308 - Posterior cloaca: a unique defect. 1589288 - The effect of intravesical marcain instillation on hyperreflexic detrusor contractions. 1003648 - New approach to myelodysplasia. 3343008 - Urological abnormalities in young women with severe constipation. 20177808 - Application of polyethylene glycolic acid felt with fibrin sealant to prevent postopera... 9730508 - Preliminary results of the duodenal switch. |
Publication Detail:
|
Type: Journal Article Date: 2010-11-12 |
Journal Detail:
|
Title: International urology and nephrology Volume: 43 ISSN: 1573-2584 ISO Abbreviation: Int Urol Nephrol Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-05-16 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0262521 Medline TA: Int Urol Nephrol Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 279-82 Citation Subset: IM |
Affiliation:
|
Department of Paediatric Urology, Central Manchester and Manchester Children's University Hospital NHS Trust, Manchester, M27 4HA, UK, gsakell@mycosmos.gr. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bone morphogenic protein-7 serum level decreases significantly in patients with contrast-induced nep...
Next Document: Interstitial nephritis and autoimmune pancreatitis: a case report.