Indian Journal of Urology
ORIGINAL ARTICLE
Year
: 2014  |  Volume : 30  |  Issue : 2  |  Page : 161--163

Anderson-Hynes pyeloplasty with isthmotomy and lateropexy in horseshoe kidneys with pelviureteric junction obstruction in children


Shasanka Shekhar Panda1, Minu Bajpai1, Manisha Jana2, Dalim Kumar Baidya3, Rakesh Kumar4 
1 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India
2 Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
3 Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India
4 Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Minu Bajpai
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India

Objective: The objective of this study was to evaluate the results of Anderson-Hynes pyeloplasty with isthmotomy and lateropexy in horseshoe kidney with pelviureteric junction obstruction (PUJO). Materials and Methods: Medical records of patients of horseshoe kidney with PUJO operated in our institute between June 1998 and June 2012 were reviewed. Anderson-Hynes pyeloplasty with isthmotomy and lateropexy was performed in all patients. The surgical outcome was evaluated with emphasis on the changes in degree of hydronephrosis by ultrasonography, renal drainage and function assessed by diuretic renal scans. Results: We studied the records of eight children of horseshoe kidney having unilateral PUJO. Obstruction was caused by a crossing lower-pole vessel in two cases, a high ureteral insertion in three and narrowing of the PUJ in three cases. Post-operative follow-up (median 4.4 years, range 18 months to 10 years) revealed improved renal function and good drainage in all cases. Hydronephrosis disappeared in 3, 4 showed Grade 1 and one showed Grade 2 hydronephrosis. All children are doing well and have no symptoms. Conclusion: Anderson-Hynes pyeloplasty with isthmotomy and lateropexy is a highly effective and safe procedure for treating PUJO in horseshoe kidney in children.


How to cite this article:
Panda SS, Bajpai M, Jana M, Baidya DK, Kumar R. Anderson-Hynes pyeloplasty with isthmotomy and lateropexy in horseshoe kidneys with pelviureteric junction obstruction in children.Indian J Urol 2014;30:161-163


How to cite this URL:
Panda SS, Bajpai M, Jana M, Baidya DK, Kumar R. Anderson-Hynes pyeloplasty with isthmotomy and lateropexy in horseshoe kidneys with pelviureteric junction obstruction in children. Indian J Urol [serial online] 2014 [cited 2021 Sep 28 ];30:161-163
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=2;spage=161;epage=163;aulast=Panda;type=0