Indian Journal of Urology Users online:2238  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2010  |  Volume : 26  |  Issue : 1  |  Page : 50-55

Laparoscopic stentless pyeloplasty: An early experience


Department of Urology and Renal Transplantation, SGPGIMS, Lucknow, UP, India

Correspondence Address:
Anil Mandhani
Department of Urology and Renal Transplantation, SGPGIMS, Lucknow, UP - 226 014
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.60444

Rights and Permissions

Introduction : Double J stent has been an important adjunct to laparoscopic pyeloplasty. It is also associated with symptoms and significant morbidity. This study analyses the outcome of transperitoneal laparoscopic pyeloplasty without a double J stent. Materials and Methods : Sixteen patients of ureteropelvic junction obstruction (age range: 1.5-50 yrs) were selected to undergo transperitoneal stentless laparoscopic pyeloplasty after obtaining the informed consent from August 2004 to December 2008. Ten patients were under the age of 14 years (pediatric age group). Some additional steps in the standard technique of laparoscopic pyeloplasty included anatomical spatulation of the ureter to avoid rotation, temporary splinting while suturing ureteropelvic junction and ensuring water tightness of suture line. Preoperative differential renal function, operative time, post operative complications (pain, drain output, fever), hospital stay and renal functional outcomes (Tc 99 DTPA) were recorded. Results : The median age of the pediatric age group was eight (1.5-14) years and adult group - 27 (20-50) years. Median operative time was 100 min (72-140) in pediatric and 110 min (90-138) in adult group. The preoperative ipsilateral differential renal function ranged from 16-45% and 16-50% in pediatric and adult groups respectively. Five of the 10 pediatric patients had persistent leak of urine for which stenting was done in four and ureteric re-implantation in one. Only one of the six adult patients (who had secondary UPJO following Endopyelotomy) needed postoperative stenting for persistent urinary leak. Conclusions : Though the need for postoperative stenting is high in smaller children, stentless laparoscopic pyeloplasty can be considered in adult patients with primary ureteropelvic junction obstruction.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3134    
    Printed124    
    Emailed2    
    PDF Downloaded123    
    Comments [Add]    
    Cited by others 6    

Recommend this journal

 

HEALTHWARE INDIA