EVALUATION OF FUNCTIONAL OUTCOME AFTER DISMEMBERED PYELOPLASTY IN PATIENTS WITH URETEROPELVIC JUNCTION OBSTRUCTION.
Journal Title: IJAR-Indian Journal of Applied Research - Year 2017, Vol 7, Issue 2
Abstract
Aims and objectives: To evaluate the functional outcome after dismembered pyeloplasty for ureteropelvic junction obstruction. Materials and methods:A retrospective review of all cases who underwent dismembered pyeloplasty during January 2014 to january 2016 at Nizam’s institute of medical sciences, Hyderabad was done. A Total of 71 cases with males and females were evaluated with respect to age at presentation, preoperative renogram and surgical details. All the cases were divided in to three groups depending upon there Split renal function on DTPA renogram of the effected kidney as Group 1 with SRF of less than 30,(16 cases) Group 2 with SRF of 30-40(26 cases) and Group 3 with SRF of more than 40(29cases). All cass were followed with maximum follow up period of 12 months with DTPA renogram at 3, 6, and at 12 months. Preoperative and postoperative split renal function on renogram has been compared to assess the outcome. Results: Mean age of the patients was 27.04 years. Median age group was 23.5years with a range of 2 to 70 years. Mean pre op split function is 33.69% and mean SRF% of group 1(16), group 2(26) and group 3(29) patients were 20.76% , 34.99% and 45.33 % respectively. P value among these groups was 0.01 which was significant. p value among these groups were 0.02 , which was significant. Mean postoperative SRF was 38.62% (SD ±12.7). The mean postoperative SRF% are 24.83% in group 1, 41.05% in group 2 and 50% in group 3. t test showed a p value of 0.014, which is a significant increase in postoperative function. Conclusion: We hereby, report that after pyeloplasty, significant improvement can be expected in most kidneys with impaired SRF, especially if the initial SRF is between 30 and 40%.
Authors and Affiliations
D Abzal Basha, Rahul Devraj, Abbas SJ, S. Vidyasagar, Ramchandraiah G, Ch. Ramreddy
Keywords
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