Premium
Antenatally Detected Pelviureteric Junction Obstruction. Is Non‐operation Safe?
Author(s) -
MADDEN N. P.,
THOMAS D. F. M.,
GORDON A. C.,
ARTHUR ROSEMARY J.,
IRVING H. C.,
SMITH S. E.W.
Publication year - 1991
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.1991.tb15329.x
Subject(s) - medicine , renal function , surgery , ultrasound , ureteropelvic junction , kidney , radiology , hydronephrosis , urinary system
Summary We report follow‐up data (minimum of 1 year) on 63 kidneys with antenatally detected pelviureteric junction obstruction, as defined by renographic criteria. The condition was bilateral in 10 patients ( i.e. 20 kidneys), 2 patients had unilateral obstruction with contralateral multicystic dysplastic kidneys, and 41 patients had unilateral obstruction with a normal contralateral kidney. In the latter group, 29 (71%) had good function (>40%) at initial assessment. Of the 63 kidneys, 24 (38%) were operated upon following initial assessment, mainly for impaired function. Of 39 patients, initially managed non‐operatively, 8 (21%) were operated upon subsequently: 3 for deteriorating function (2 of whom have been reassessed and both have regained their lost function) and 5 for other renographic or ultrasonic indications). Of the original 63 kidneys, 31 (49%) continue to be managed non‐operatively; 16 of these (52%) show improving ultrasound appearances, 8 of 17 studied show improved drainage, and all unilateral cases have stable good function. It is concluded that non‐operative management of selected cases of antenatally detected pelviureteric junction obstruction is safe.