|Success Rate of Laparoscopic Pyeloplasty in The Treatment of Ureteral Pelvic Junction Obstruction|
|Amiri Shadmehri Mohammad1, Jaras Mitra2, Soleymani Bagher1, Hashem Zehi Fazlollah1, Shokoohi Majid3, Hojjati Hamid4|
|1Department of Urology, Faculty of Medicine, Mashhad University Medical of Sciences, Mashhad,Iran
2Student research committee, Gonabad University Medical of Sciences, Gonabad, Iran
3Department of Anatomical sciences and Embryology, Faculty of medicine, Tabriz university medical of sciences, Tabriz, Iran
4Aliabad Katoul Branch ,Islamic Azad University, Aliabad Katoul, iran
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Keywords : Hydronephrosis, Renal Disease, UPJO
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Objective: Hydronephrosis is a common problem of renal disease in neonates, and it is shown that urethral pelvic junction obstruction (UPJO) is the most common cause of hydronephrosis. Several therapeutic surgical approaches have been introduced among which pyeloplasty have some advantages. In this study, the efficiency of this technique was studied on 30 patients with UPJO.
Materials and Methods: In this prospective clinical trial, 30 patients with UPJO who had undergone pyeloplasty during 2013 to 2017 were studied and the intra- operative and postoperative complications, as well as successes of the operation were evaluated.
Results: Of 30 patients with UPJO, their mean age of patients was 24.76±13.95. The results of this study showed that none of the patients needed blood transfusion, and 28 patients responded well to surgery, while 2 patients had postoperative complications such as pain and urinary tract infection at the end of follow-up.
Conclusion: The results of this study indicated that since the operation time, recovery, and duration of hospital stay, in addition to postoperative complications such as blood loss, and the need for blood transfusion was reduced in pyeloplasty method, this surgical method can be considered as the method of choice for both surgeons and patients for the treatment of hydronephrosis.
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