Pelviureteric obstruction in children: conventional pyeloplasty is superior to endo-urology.
BACKGROUND
Hydronephrosis secondary to pelviureteric junction (PUJ) obstruction is common in infancy and childhood. Pyeloplasty has until recently been the accepted method of management, but alternative endo-urological techniques have evolved in the last decade.


METHODS
Published results of conventional pyeloplasty for primary PUJ obstruction in children were compared with published results of endo-urological procedures.


RESULTS
Sixty-six pyeloplasties were performed in 61 children in a 6-year period. During a similar period, 63 primary endo-urological procedures were reported in the literature. The success rate after pyeloplasty was 95.5% compared with 65% after endo-urology.


CONCLUSIONS
Conventional pyeloplasty is superior to endo-urology and should remain the gold standard for the treatment of primary PUJ obstruction in children.
Ahmed
S
S
Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. urology@wch.sa.gov.au
Crankson
S
S
Sripathi
V
V
D002404:Catheterization; D002648:Child; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007682:Kidney Pelvis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014517:Ureteral Obstruction / Q000150:complications / Q000601:surgery* / Q000628:therapy; D013520:Urologic Surgical Procedures / Q000379:methods