“The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”

Document Type : Original Article

Authors

1 Urology, faculty of medicine, zagazig university, Elsharkia, Egypt.

2 Urology Department , Zagazig university

3 Urology, Faculty of medicine, Elsharkia, Egypt

4 Urology, faculty of medicine, Zagazig university. Elsharkia, Egypt.

Abstract

Background: To evaluate the efficacy of mini-laparoscopy in the management of ureteropelvic junction obstruction as regard: Functional and cosmetic results, complications, and patient’s overall satisfaction.
Methods: a total of 28 patients were prospectively enrolled in this study at Zagazig university hospitals. All patients underwent preoperative laboratory evaluation and radiologic evaluation for assessment of pelvis antro-posterior diameter and maximal cortical thickness in mm using abdominal ultrasonography, and differential renal function, GFR and drainage using renal scintigraphy. All patient underwent transperitoneal minilaparoscopic pyeloplasty. Patients were evaluated postoperatively with documentation of any complication.
Results: Of 33 patients recruited in this study, 25 patients with a mean age of 18.47 ± 8.03 years completed 6 months of follow-up. Mean operative time was 178.2 ± 34.9 minutes. pVAS score at discharge was 0.40 ± 0.21. There were highly statistically significant differences between both preoperative and postoperative ultrasonography and renal scintigraphy results. There is no major perioperative complication as per the Clavien-Dindo classification of surgical complications (grades IV–V). Total PSAQ score was 39.96 ± 2.44
Conclusion: Minilaparoscopic pyeloplasty is a safe and feasible method for treatment of UPJO, as regards to the efficacy it shows excellent functional and cosmetic outcomes.

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Zagazig University Medical Journal
Volume 29, Issue 2.1
March and April 2023
Pages 1-6

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