Long-term follow-up of patients with hydronephrosis treated by Anderson-Hynes pyeloplasty.
A series of 21 patients with hydronephrosis (mean age 37 years) underwent an Anderson-Hynes pyeloplasty; a nephrostomy catheter was not used routinely. One patient developed urinary leakage post-operatively but this ceased following insertion of a ureteric catheter. Assessment was carried out after a mean observation time of 85 months. Clinical examination, laboratory investigations, urography and renography were performed pre-operatively and at follow-up. There was no evidence of stones or stenosis in the pelvis. Patients operated upon before the age of 30 years showed improved renal function. All patients had symptoms pre-operatively but only one had symptoms post-operatively. It was concluded that the results of surgical intervention in hydronephrosis are excellent, especially in patients aged less than 30 years.
Mikkelsen
S S
SS
Department of Surgery, Central Hospital, Holstebro, Denmark.
Rasmussen
B S
BS
Jensen
T M
TM
Hanghøj-Petersen
W
W
Christensen
P O
PO
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000503:physiopathology / Q000601:surgery*; D007668:Kidney / Q000503:physiopathology; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery; D014546:Urinary Catheterization