title: Dismembered pyeloplasty in children with and without stents.
abstract: OBJECTIVE
  To assess the benefit of performing nonstented pyeloplasty in infants.
  
  
  METHODS
  Forty-eight consecutive pyeloplasties were performed by two surgeons using different techniques, from 1987 to 1992. One used stents in all cases (23) and the other performed a nonstented anastomosis with external drainage (25 cases). Patients with specific indications for internal drainage, i.e. poor renal function, extreme pyelocaliectasis, were excluded from the study. Parameters of cost and complications were assessed.
  
  
  RESULTS
  The group with stents had more febrile episodes, needed more antibiotics and were hospitalized twice as long as the nonstented group. Pre- and postoperative renal function was similar in both groups.
  
  
  CONCLUSIONS
  Performing pyeloplasties in children without stenting the anastomosis is safe and cost-effective.
authors.affiliation: Institute of Urology, Beilinson Medical Center, Petach Tikva, Israel.
authors.forename: J
authors.initials: J
authors.lastname: Baniel
authors.forename: P M
authors.initials: PM
authors.lastname: Livne
authors.forename: A
authors.initials: A
authors.lastname: Savir
authors.forename: G
authors.initials: G
authors.lastname: Gillon
authors.forename: C
authors.initials: C
authors.lastname: Servadio
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D006801:Humans; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D007902:Length of Stay; D008722:Methods; D011183:Postoperative Complications; D015607:Stents