A Clinical Review of the Pyeloplasty / 대한비뇨기과학회지

ABSTRACT

A total of 33 patients underwent repair of congenital ureteropelvic junction obstruction during a 10-year period. A majority of patients (85%) presented with flank pain. Hydronephrosis was demonstrated in all patients. A majority of the patients (94%) underwent dismembered pyeloplasty with intubation. In 9 cases, pyelolithotomy was performed at the time of pyeloplasty. One hypertensive patient became normotensive postoperatively. Seven patients underwent secondary procedures after a previous failed pyeloplasty, including 3 cases of dismembered pyeloplasty, 3 cases of ileal ureteral replacement and a case of nephrectomy. The clinical success rate was 79% with one operation.