Open pyeloplasty in children: experience with an improved stenting technique.
OBJECTIVE
To describe the use of an alternative and improved nephrostostent in open pyeloplasty procedures.


METHODS
A series of 27 consecutive patients (between 4 months and 14 years of age) undergoing an open pyeloplasty procedure had their urinary system drained via a nephrostostent which passes from the ureteric anastomosis to the skin and which unlike other described nephrostostents does not cross the vesico-ureteric junction. All children received an ultrasound and MAG3 scan 3 months post-operatively and were followed up for 18-24 months.


RESULTS
The use of this stent was associated with no serious complications. There was a decreased incidence of vesico-ureteric reflux, post-operative urinary tract infection and stent displacement compared to previously described methods of drainage.


CONCLUSIONS
This method of open pyeloplasty drainage, which has not been described before, could be associated with fewer complications than existing stenting techniques.
Reed
M J
MJ
Department of Paediatric Urology, Addenbrookes Hospital, Cambridge, UK. mattreed1@hotmail.com
Williams
M P L
MP
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D015607:Stents; D014546:Urinary Catheterization / Q000379:methods; D013520:Urologic Surgical Procedures / Q000379:methods