Indian Journal of Urology
ORIGINAL ARTICLE
Year
: 2000  |  Volume : 17  |  Issue : 1  |  Page : 24--27

Antenatally detected pelviureteric junction obstruction: Safety of conservative management by our protocol


DK Gupta, M Bajpai, V.V.S.S Chandrasekharan, M Srinivas 
 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
D K Gupta
Department of Pediatric Surgery, All India Institue of Medical Sciences, New Delhi - 1 10 029
India

The present study was carried out by evaluate the safety and effectiveness of the selective conservative manage­ment of antenatally detected unilateral pelviureteric junc­tion obstruction (ADPUJ) in children who were diagnosed to have unequivocal obstruction upon DTPA renograms performed at 6 weeks of age. The study comprised of 28 patients with ADPUJ. The selective conservative manage­ment was applied to the patients with unilateral ADPUJ who were asymptomatic, had split renal function (SRF) above 40% and had the anterior posterior diameter of the pelvis less than 20 mm at 6 weeks of life. 20 of the 28 patients fulfilled the above criteria and were followed up at 3-monthly intervals with nuclear renograms and ultra­sonography (US). Prophylactic antibiotics were not pres­cribed to these patients. The remaining 8 patients underwent pyeloplasty. None of the patients followed up without surgical intervention deteriorated enough to the SRF of 40% or below during the mean follow-up period of 30 months. Only I of these 20 patients had an episode of urinary tract infection. In conclusion, unilateral ADPUJ managed by selective conservative treatment is safe and these patients do not require any antibiotic chemo­prophylaxis.


How to cite this article:
Gupta D K, Bajpai M, Chandrasekharan V, Srinivas M. Antenatally detected pelviureteric junction obstruction: Safety of conservative management by our protocol.Indian J Urol 2000;17:24-27


How to cite this URL:
Gupta D K, Bajpai M, Chandrasekharan V, Srinivas M. Antenatally detected pelviureteric junction obstruction: Safety of conservative management by our protocol. Indian J Urol [serial online] 2000 [cited 2021 Jan 20 ];17:24-27
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=17;issue=1;spage=24;epage=27;aulast=Gupta;type=0