Journal: Drug Invention Today

Article Id: JPRS-Pcol-00002499
Title: Primary Ureteropelvic Junction Obstruction: Surgical Treatment with Antegrade/Retrograde Endopyelotomy and Laparoscopic Pyeloplasty (Effectiveness Analysis)
Category: Pharmacology
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    The proposed research aimed to compare two surgical methods (laparoscopic pyeloplasty and both antegrade and retrograde endopyelotomies), their results and post-surgical complications prospectively. Within the scope of the study, surgeons performed 48 endopyelotomies (including 14 antegrade and 34 retrograde) and 65 laparoscopic pyeloplasties in patients with primary ureteropelvic junction obstruction (UPJO). The diagnosis of UPJO was based on complete medical history, ultrasonography, intravenous urography (IVU), and/or contrast-enhanced computed tomography. The mean follow-up period for patients in two groups was 12 months. The successful result was defined as the absence of any clinical symptoms combined with the significant reduction of hydronephrosis on IVU and ultrasonography. The successful result was observed in 84.8% of patients after endopyelotomy, and in 93.8% of patients after laparoscopy. Irrespective of the degree of hydronephrosis, laparoscopic procedures yield better therapeutic results than endopyelotomy for patients with primary UPJO. The number of complications was comparable in both groups. We conclude that laparoscopic pyeloplasty should be the procedure of choice in the treatment of primary UPJO.

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    Author(s) Name:

    Alexei Suchshenko*, Yerbol Iskakov, Daniyar Akhmetov, Ravil Sherkhanov, Ulan Zhaparov, Fatima Suleimenova

    Affiliation(s) Name:

    Department of Urology and Andrology, Astana Medical University, Astana, Kazakhstan

    *Corresponding author: Alexei Suchshenko, Department of Urology and Andrology, Astana Medical University, 49A Beibitshilik str., Astana, Kazakhstan.

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    Author:

    Alexei Suchshenko*, Yerbol Iskakov, Daniyar Akhmetov, Ravil Sherkhanov, Ulan Zhaparov, Fatima Suleimenova

    Title:Primary Ureteropelvic Junction Obstruction: Surgical Treatment with Antegrade/Retrograde Endopyelotomy and Laparoscopic Pyeloplasty (Effectiveness Analysis)
    Journal:Drug Invention Today
    Vol(issue):10 (September )
    Year:2018
    Page No: (1831-1836)
  • Experimental Methods Keywords

    Methodology:surgical methods
    Research Materials: Surgeons

Keywords

Endopyelotomy Laparoscopic pyeloplasty Success rate Ureteropelvic junction obstruction

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