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Vesicopyelostomy in the Treatment of Pelvic Kidneys with Pelviureteric Junction Obstruction: Long‐term Follow‐UP
Author(s) -
KUMAR A.,
SHARMA S. K.,
VAIDYANATHAN S.,
GOSWAMI A. K.,
BAPNA B. C.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb06585.x
Subject(s) - medicine , pyeloplasty , renal pelvis , vesicoureteric reflux , pelvis , surgery , reflux , cystourethrography , pelvic kidney , ureter , kidney , urinary system , urology , hydronephrosis , vesicoureteral reflux , disease
Summary— The surgical management of 6 male patients with pelvic kidneys with pelviureteric junction obstruction is discussed. Two patients presented in advanced renal failure and 1 had peritonitis and septicaemia due to rupture of the renal pelvis. Vesicopyelostomy was preferred to pyeloplasty in 5 patients because of adhesions, multiple aberrant vessels, multiple stones, malrotation and the low pelvic position, but pyeloplasty was done in 1 case. Though vesicoureteric reflux was observed during voiding cystourethrography in all patients, no deleterious effect on the kidney was seen during the 3‐ to 5‐year follow‐up period.