to compare outcome of pyeloplasty in pediatric population less than 6 months in age using an after coming stent versus stentless pyeloplasty.
A prospective randomized control study including patients divided into two groups,all patient undergoes dismembered pyeloplasty First group will be with an after coming stent ,Second group will be stentless to compare outcome of pyeloplasty in pediatric population less than 6 months in age
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Dismembered pyeloplasty through lumbar incision. The patients who are randomized to the after coming stent arm, an after coming stent is inserted. Distal part of it is positioned in the mid ureter. The proximal end is passed through the renal parenchyma (usually the lower kidney calyx) to be exteriorized through stab wound and fixed to the skin. The size of external stent is 4-5 F.
Dismembered pyeloplasty through lumbar incision. No stents are inserted
Cairo University Hospitals
Cairo, Egypt
Postoperative Hospital stay
Postoperative Hospital stay
Time frame: 1 week
Leakage
occurrence of post operative leakage
Time frame: 1 week
2ry intervention
Need for 2ry intervention in the form of insertion of ureteral stent
Time frame: 1 month
Fever
Postoperative fever
Time frame: 1 month
Assessment of kidney function after repair
\- Assessment of kidney function after repair using renogram and ultrasound
Time frame: 6 months
success
Need for 2ry treatment of persistent pelviureteric junction obstruction
Time frame: 6 months
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