ESPU Congress 2018 - Abstract Book

CONGRESS OF THE ESPU

transanastomotic diversions (p=0.002) and children without pre-operative diversion (p=0.005). The

analysis of patients in chronological order revealed an increase in prenatal diagnosis in the recent

years (p<0.001). Recurrence and complications were not found to be related with age, gender, side,

hydronephrosis grade, surgery type and surgical findings.

CONCLUSIONS

Surgical treatment of UPJ obstruction is satisfactory in any age and hydronephrosis grade.

Recurrences are closely related to the presence of early postoperative complication and diver-

sion type. Placing temporarily preoperative diversions (either internal or external) should not be

encouraged since the postoperative complications and recurrences develop more. However, use of

transanastomotic diversions are advantageous in terms of complications.

10:00–10:03

S6-6 (PP)

MANAGEMENT OF HYDRONEPHROSIS WITH LESS

THAN 10 % FUNCTION

Rachida LAAMIRI, Nahla KECHICHE, Lasaad SAHNOUN, Mongi MEKKI,

Mohsen BELGUITH and Abdelatif NOURI

Fattouma Bourguiba University Hospital, Pediatric surgery, Monastir, TUNISIA

PURPOSE

To determine the efficacy and long-term outcome of pyeloplasty in poorly functioning kidneys (less

than 10 %) in the pediatric age group.

MATERIAL AND METHODS

We retrospectively analyzed data from 17 infants (15 male, 2 female) with prenatally or postna-

tally diagnosed hydronephrosis due to UPJO treated by Anderson-Hynes pyeloplasty (AHP) in our

hospital over 14 years. The length of postoperative followup was 26 months on average (range

3–80 months)

RESULTS

In 3 patients, percutaneous nephrostomy (PCN) was performed, followed by AHP. 14 patients

underwent AHP without preceding PCN. DTPA renograms were done post pyeloplasty period

in 10 patients (after 1 year). In 9 patients, split function increased from < 10 % preoperatively to

21,33 % (range 9 to 41 %) postoperatively. Of all patients, only one had significant deterioration

in split function and underwent nephrectomy. No complications were noted after pyeloplasty in the

16 over cases.

CONCLUSIONS

Pyeloplasty gives good results in poorly functioning kidneys in the pediatric age group, and in most

cases the sacrifice of such kidneys can be avoided. 1 year). In 9 patients, split function increased

from < 10 % preoperatively to 21,33 % (range 9 to 41 %) postoperatively. Of all patients, only one

had significant deterioration in split function and underwent nephrectomy. No complications were

noted after pyeloplasty in the 16 over cases.