ABSTRACT
Ureteropelvic junction (UPJ) obstruction (UPJO) leads to a functionally significant impairment of urinary transport from the renal pelvis to the ureter. Recently, the increasing use of maternal antenatal ultrasonography (USG) has led to increased diagnosed cases of UPJO. In a setup like ours, where patients are mainly from a lower middle class, minimally invasive techniques are still costly and long-term data for their outcomes are still awaited. The aim of this study is to find the outcome of the gold standard operation, i.e. open pyeloplasty, for the patients of UPJO, with objective criteria of severity, renal function, clinical features, and complications. MethodsThis prospective observational study was done from September 2016 to October 2018 8 after taking ethical clearance from the institutional review board. This study included 25 patients of UPJO who were managed surgically with open dismembered Anderson Hynes pyeloplasty with DJ stenting were followed up for three months. UPJO patients were included in the study who underwent USG and renal scan, pre-operatively and at the follow-up time of 3 months. Categorical variables will be presented in numbers and percentages (%), and continuous variables will be presented as mean ± SD and median. Quantitative variables will be compared using independent t-test / Mann-Whitney Test. Qualitative variables will be correlated using the Chi-Square test. A p-value of < 0.05 will be considered as statistically significant. ResultsThe mean age of the patients in our study was 15.93 ± 15.73 years. Overall, significant improvement in clinical features, grade of hydronephrosis, and renal function, was seen three months after the operation (p<0.05) with minimal complications. ConclusionsWith a success rate of more than 92% as seen in our study, open Anderson Hynes pyeloplasty procedure holds its importance for the treatment of UPJO in the present era of minimally invasive surgery.