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Does Delaying Pyeloplasty Affect Renal Function in Children with a Prenatal Diagnosis of Pelvi-ureteric Junction Obstruction? by B. Chertin; U. Rolle; A. Farkas; P. Puri is a Medicine article available to read on EtoBox.

What is Does Delaying Pyeloplasty Affect Renal Function in Children with a Prenatal Diagnosis of Pelvi-ureteric Junction Obstruction? about?

**Objective** To evaluate retrospectively children with an antenatal diagnosis of pelvi‐ureteric junction (PUJ) obstruction who required pyeloplasty for deteriorating renal function during the follow‐up, specifically assessing the recovery of function after surgery. **Patients and methods** Between 1988 and 2000, 44 consecutive patients with a prenatal diagnosis of PUJ obstruction who were initially treated by observation underwent pyeloplasty because their renal function deteriorated during the follow‐up. Patients with bilateral disease, a single kidney or vesico‐ureteric reflux were excluded from the study. The mean ( sd ) age of the patients was 13.3 (4.5) months and their mean (range) initial renal function 39.7 (30.4–45)%. In all patients the diagnostic criteria and indications for surgery were identical. The main indication for surgery was deteriorating renal function of >5%, confirmed by renal scintigraphy. Of 44 patients, 35 (77%) had severe dilatation of the renal pelvis by >3 cm. The mean ( sd ) deterioration in renal function during the follow‐up, just before surgery, was 8.2 (2.4)%, and the mean time between the last acceptable renogram and the study showing deteriorat

Who reads Does Delaying Pyeloplasty Affect Renal Function in Children with a Prenatal Diagnosis of Pelvi-ureteric Junction Obstruction??

Author

B. Chertin; U. Rolle; A. Farkas; P. Puri

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1464-4096)

Published

2002

Language

EN

Field

Medicine (Health Sciences)