Does retrograde balloon dilation compromise outcome of secondary open pyeloplasty: 17 years' experience at a single center.
OBJECTIVE
To determine whether the outcome of secondary open pyeloplasty is compromised by previous retrograde balloon dilation.


METHODS
Patients undergoing secondary open pyeloplasty after retrograde balloon dilation (n = 25) were compared with a similar group undergoing primary open pyeloplasty (n = 25) at the same institution. Patients were assessed by renography before and after surgery, and postoperative success was determined by the complete absence of pain.


RESULTS
In the primary pyeloplasty group, the success rate was 96%, with a mean follow-up of 33 months (range 17 to 53). In the secondary pyeloplasty group, the success rate was 88%, with a mean follow-up of 20 months (range 9 to 32). No statistically significant difference was found in the success rates between the two groups (P = 0.6).


CONCLUSIONS
Treatment failures after retrograde balloon dilation can be salvaged by secondary pyeloplasty with no detriment to the chance of long-term success compared with primary pyeloplasty.
Janjua
K S
KS
Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland, United Kingdom.
Nabi
G
G
N'Dow
J
J
Hussey
J K
JK
McClinton
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014517:Ureteral Obstruction / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods