Laparoscopic Assisted Dismembered Pyeloplasty Versus Open Pyeloplasty in (UPJO) With Poorly Function Kidney in Pediatrics

Al-Azhar University65 enrolled

Overview

The management of kidneys with poor function less than 10% has been the subject of debate for more than a decade. Some authors have recommended nephrectomy while others favor renal salvage (pyeloplasty). the investigators reported their experience of lap assisted pyeloplasty in poorly functioning kidneys in the pediatric age group, concerning on the benefits of a minimally invasive method for repair of UPJO, in comparison with open approach.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Uretro-pelvic Junction Obstruction Poorly Function Kidney

Interventions

Dismembered PyeloplastyPROCEDURE

dismembered Anderson-Hynes repair was performed using 5/0 absorbable suture.

Eligibility

Sex: ALLMin age: 2 MonthsMax age: 14 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with hydronephrosis diagnosed as UPJO * Antero-Posterior pelvic diameter more than 20 mm * renal function equal or less than 10%, * corrected by laparoscopic assisted or open pyeloplasty Exclusion Criteria: * Patients with ureteral dilatation (VUR), * renal function more than 10%, * acquired and recurrent cases

Locations (1)

Mohammad Daboos

Cairo, Select, Egypt

Outcomes

Primary Outcomes

Renal function

Split renal function by Renal scan (DTPA) %

Time frame: 12 months post-operative

Measurments A-P renal pelvis diameter

ultrasound measuerment of renal pelvis diameter by mm

Time frame: 12 months

Secondary Outcomes

operative time

operative time by minutes

Time frame: one month

Data from ClinicalTrials.gov

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