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Secondary endoscopic pyelotomy in children with failed pyeloplasty

, : Secondary endoscopic pyelotomy in children with failed pyeloplasty. Urology 77(6): 1450-1454

To assess the results of secondary endopyelotomies (SEP) that were performed in our center in children who had earlier failed pyeloplasty. Eleven secondary endopyelotomies were done between 2005 and 2010 in 10 patients (5 boys and 5 girls, mean age 6.8 years), with a follow-up time of >6 months. The primary procedure was an open/laparoscopic pyeloplasty (n = 10) or a ureterocalicostomy (n = 1). In all cases, endopyelotomy was done by means of a monopolar electrocautery hook using the standard pediatric resectoscope. In 10 patients, SEP was done percutaneously, and in 1 patient it was done in a retrograde fashion. The mean operation time was 69 minutes. After a mean follow-up of 20 months, 70% of patients were free of complaints (n = 7), which was defined as a resolution of complaints, resolution of hydronephrosis, and improvement of renal wash-out curve and function. In 4 renal units, reintervention had to be considered; in one of these, a re-pyeloplasty has already been performed. The mean postoperative hospital stay was 2.8 days. No intraoperative complications occurred. In 1 patient, postoperative leakage around the nephrostomy drain occurred but resolved spontaneously. SEP is a fairly safe method to treat recurrent ureteropelvic junction-stenosis after failed pyeloplasty in children. However, because it seems to be less affective than the open redo pyeloplasty, it cannot be considered as a gold standard procedure and as such should be thoroughly discussed with the patient and parents.


PMID: 21256576

DOI: 10.1016/j.urology.2010.10.021

Other references

Jones, J.Paul, 1927: Descriptions of two new Scelopori. Sceloporus cozumelae (p. 1), Cozumel Island, Yucatan, type in U. S. Nat. Mus.; S. schmidti (p. 4), Mts. W. of San Pedro, Honduras, type in Field Mus. Nat. Hist.

Toriba, Michisa, 1994: Gender of the genus Amphiesma Dumeril, Bibron and Dumeril. Snake 26(2): 145

Hsu, H-Feng.; Tseng, C-Hsiang.; Chen, T-Hsuan., 2010: Formation of epitaxial NiSi2 nanowires on Si(100) surface by atomic force microscope nanolithography. Ni nanowries were fabricated by atomic force microscope nanolithography, evaporation, lift-off and annealing processes. Epitaxial NiSi2 nanowires on a Si(100) surface along Si(110) and (100) directions were formed by the rapid thermal annealing tr...

Krzysztoporski, S., 1974: A modified vacuum extractor. Ginekologia Polska 45(11): 1325-1327

Davis, R.B., 1971: Psychiatric nosology. Canadian Psychiatric Association Journal 16(6): 554-554

Roembke Joerg; Amorim Monica, 2004: Tackling the heterogeneity of soils in ecotoxicological testing; an EURO-soil based approach. Goal, Scope and Background. In terrestrial ecotoxicology, standardised test methods using plants, earthworms and insects are available for the evaluation of effects induced by heavy metals, organic chemicals and, in particular, pesticides. Current...

Yuldashev, D.K., 1991: Carbohydrate supplement from cottonseed husks for lactating cows. Feed hydrolysed sugar from cottonseed husks (FHS) contained 22 to 40% DM and 60 to 78% water; its pH was 3.5 to 4.5. Up to 85% of the DM was monosaccharides. Gas chromatography showed that with 22.94% DM and 19.94% sugars in FHS, xylose, glucose,...

Lesch, M.F., 2008: Warning symbols as reminders of hazards: impact of training. Prior research indicates that many warning symbols are poorly understood. However Lesch [Lesch, M.F., 2003. Comprehension and memory for warning symbols: Age-related differences and impact of training. J. Safety Res. 34, 495-505] found that accide...

Anonymous, 2012: Gastric Foreign Body and its Surgical management in a Dog. A Labrador Retriever dog was brought with history of foreign body ingestion along with meal but without any symptoms of gastroenteritis or gastrointestinal obstruction. The presence of stone in the stomach was confirmed via radiography and ultraso...

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