Modified laparoscopic Y-V pyeloplasty: experience of a single center.
The aim of this study was to compare the results of two procedures: laparoscopic Foley Y-V pyeloplasty and our modification of the technique. Sixteen operations performed were Foley Y-V plasties (LY-VP), and 23 were the modifications (LY-V1P). In the modified version, a V-shaped flap was created from the anterior wall of the renal pelvis. Ultrasonography, diuretic urography, and/or diuretic renography were used to diagnose ureteropelvic junction obstruction. The mean follow-up was 30 months. Complete success was defined as the absence of any clinical symptoms combined with a significant reduction of hydronephrosis on diuretic urography and ultrasonography as well as no sign of obstruction on diuretic urography, diuretic renography, and/or the Whitaker test. We did not observe any serious postoperative complications. The success rate was 93.3% for LY-VP patients and 95.4% for LY-V1P patients. The modified plasty group had easier intracorporeal laparoscopic suturing while maintaining similar postoperative outcomes.
Szydełko
Tomasz
T
Department of Urology and Urological Oncology, Wroclaw University of Medicine, Wroclaw, Poland.
Kasprzak
Jarosław
J
Apoznański
Wojciech
W
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007674:Kidney Diseases / Q000601:surgery*; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D013536:Suture Techniques; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000601:surgery*; D055815:Young Adult