A comparative study of pyeloplasty in children with and without stenting
DOI:
https://doi.org/10.18203/2349-2902.isj20183213Keywords:
Anderson hynes, Double J stent, Pyeloplasty, Paediatric, Perinephric drainAbstract
Background: PUJ obstruction is the most common among the major obstructive pathologies in pediatric patients. The study aims to compare the benefits and drawbacks of stentless pyeloplasty in pediatric population with routine DJ stent insertion.
Methods: Data was collected for operated cases of PUJ obstruction and categorised into those who had DJ stent in situ and those without DJ stent. Complications associated with both these approaches was systematically assessed.
Results: In patients with DJ stent in situ the perinephric drain was minimal and hence most of the patients had their drain removed on the 2nd or 3rd day. In those patients without DJ stent in situ, the average duration for removal of drain was prolonged to about 7 days.
Conclusions: Routine use of Ureteric stenting with DJ stent in this series of patients was associated with decreased hospital stay and morbidity in patients without DJ stent.
References
Anderson JC, Hynes W. RETROCAVAL URETER: A Case diagnosed pre‐operatively and treated successfully by a Plastic Operation. Br J Urol. 1949;21(3):209-14.
Houben CH, Wischermann A, Börner G, Slany E. Outcome analysis of pyeloplasty in infants. Pediatr Surg Inte. 2000;16(3):189-93.
Jana IA, Hussain M, Khan E, Aurakzai HU, Hanif S. Stentless pyeloplasty for ureteropelvic junction obstruction in children. Ann Pediatr Surg. 2015;11(1):18-20.
Ninan GK, Sinha C, Patel R, Marri R. Dismembered pyeloplasty using double ‘J’stent in infants and children. Pediatr Surg International. 2009;25(2):191-4.
VanderBrink BA, Cary C, Cain MP. Kidney internal splint/stent (KISS) catheter revisited for pediatric pyeloplasty. Urol. 2009;74(4):894-6.
Kumar V, Mandhani A. Laparoscopic stentless pyeloplasty: an early experience. Indian journal of urology: IJU: J Urolog Society of India. 2010;26(1):50.
Yiee JH, Baskin LS. Use of internal stent, external transanastomotic stent or no stent during pediatric pyeloplasty: a decision tree cost-effectiveness analysis. J Urol. 2011;185(2):673-81.
Elmalik K, Chowdhury MM, Capps SN. Ureteric stents in pyeloplasty: a help or a hindrance?. J Pediatr Urol. 2008;4(4):275-9.
Hung LT, Tram NT, Nhan HC, Linh NT. Transpelvic anastomotic stenting: a good option for diversion after pyeloplasty in children. J Pediatr Urol. 2011;7(3):363-6.
