Vesicopyelostomy in the treatment of pelvic kidneys with pelviureteric junction obstruction: long-term follow-up.
The surgical management of 6 male patients with pelvic kidneys with pelviureteric junction obstruction is discussed. Two patients presented in advanced renal failure and 1 had peritonitis and septicaemia due to rupture of the renal pelvis. Vesicopyelostomy was preferred to pyeloplasty in 5 patients because of adhesions, multiple aberrant vessels, multiple stones, malrotation and the low pelvic position, but pyeloplasty was done in 1 case. Though vesicoureteric reflux was observed during voiding cystourethrography in all patients, no deleterious effect on the kidney was seen during the 3- to 5-year follow-up period.
Kumar
A
A
Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Sharma
S K
SK
Vaidyanathan
S
S
Goswami
A K
AK
Bapna
B C
BC
D000293:Adolescent; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*