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Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
- Source :
- Arab Journal of Urology, Vol 15, Iss 4, Pp 319-325 (2017), Arab Journal of Urology
- Publication Year :
- 2017
- Publisher :
- Informa UK Limited, 2017.
-
Abstract
- Objective: To compare the outcomes of transurethral incision (TUI) and upper pole partial nephrectomy (PN) in patients with duplex system ureterocoele (DSU). Patients and methods: We retrospectively reviewed the medical charts of patients who presented with DSU in the first-year of life and were managed with either TUI or PN. Patientsâ demographics, ultrasonography examinations, voiding cystourethrogram studies, and dimercaptosuccinic acid scans were reviewed. Also, the postoperative vesico-ureteric reflux status and febrile urinary tract infection occurrences, and subsequent surgical interventions were identified. The outcomes for the DSU location (intravesical vs extravesical) were compared. Results: Between January 1995 and September 2015, 44 patients underwent TUI (31 patients) or PN (13). The TUI patients presented at a median age of 1.1Â months and were followed-up for a median of 47.4Â months, whilst those who underwent PN presented at a median age of 1.06Â months and were followed-up for a median of 44.23Â months. Postoperatively, in the TUI group, four of 15 units had improved renal function and 11 units had stable function. In the PN group, five of nine units had stable renal function and the remaining four had worsened function (PÂ =Â 0.019). Furthermore, 15 of the 31 patients (48%) in the TUI group required second interventions compared with one of 13 patients in the PN group (PÂ =Â 0.01). There was no significant difference between the outcomes of intravesical and extravesical DSUs after TUI and PN. Conclusion: This study shows significant renal function preservation with TUI compared to PN. However, secondary surgical interventions were higher with TUI. Keywords: Ureterocoele, Duplex system, Nephrectomy, Transurethral incision
- Subjects :
- medicine.medical_specialty
PN, partial nephrectomy
Urology
medicine.medical_treatment
TUI, transurethral incision
030232 urology & nephrology
First year of life
UUT, upper urinary tract
Transurethral incision
Nephrectomy
Duplex system
03 medical and health sciences
0302 clinical medicine
Ureterocoele
medicine
In patient
SFU, Society for Fetal Urology
Upper pole partial nephrectomy
Pediatric Urology
US, ultrasonography
business.industry
DSU, duplex system ureterocoele
Diseases of the genitourinary system. Urology
humanities
Surgery
030220 oncology & carcinogenesis
VCUG, voiding cystourethrogram
RC870-923
LUT, lower urinary tract
business
Subjects
Details
- ISSN :
- 2090598X
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Arab Journal of Urology
- Accession number :
- edsair.doi.dedup.....1886c757941cf6f01476461d0f951e54