Research Article
Can pyeloplasty restore normal renal function in patients with severe unilateral ureteropelvic junction obstruction and DRF<35%
Author(s): Tarek Ahmed Mahmoud*, Esam El din Salem Morsy, Hany Abd Elraoof Ali Morsy, Abdelmoneim Mohammed Abouzeid, Ahmed Mamdouh Abd Elhamed, Elnisr Rashed Mohamed and Hazem Mohamed Elmoghazy
Purpose: To assess the outcome of successful pyeloplasty in infants with ureteropelvic junction obstruction and Differential Renal Function (DRF)<35% to determine whether they can attain normal postoperative renal function or not.
Methods: All children diagnosed with antenatal hydronephrosis due to UPJO presented to our institutions were prospectively followed up. Pyeloplasty was performed based on predefined indications such as initial DRF ≤ 40%, progression of hydronephrosis, and recurrent UTI. A total of 173 children who had successful surgical intervention due to impaired DFR, were divided according to their pre intervention DRF value as follows: DRF<35% (group I) and DRF 35-40% (group II). The renal morphology and function changes were recorded and used for comparison between both groups.
Results: Gro.. View More»
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