Open pyeloplasty: a good option

ABSTRACT

To assess the Morbidity, Complications and Success rate of different Open Pyeloplasty techniques. This study was carried at the Urology department Bolan Medical College and Sandeman Provincial [Teaching] Hospital Quetta. This is a retrospective study carried out over a period of six years. After complete investigations all the patients were admitted through the out patients department. Kidneys were exposed in standard flank, muscle cutting incision. In short segment uretero pelvic junction obstruction and polar vessels anterior to uretero pelvic junction obstruction, the Anderson - Hynes Pyeloplasty was done. Culp and De-Weered Pyeloplasty was done in patients with long narrow segment at the upper end of ureter, JJ stents and nephrostomy catheters were used in majority of the cases. Patients were discharged on the10th post operative day and were followed-up routinely for six month. In this study 92 Pyeloplasties of different age and sex were done. Majority, 58 [63.4 percent] cases were between the ages 11-30 years. The most common presenting signs and symptoms were pain in 82 [89.13 percent] and loin mass in 61 [66.30 percent] cases. Narrow uretero pelvic junction and high ureteral insertion were the most common causes of uretero pelvic junction obstruction, seen in 62 [67.39 percent] cases. Culp and Anderson-Hynes were the most common surgical techniques used. Open Pyeloplasty is still an excellent procedure for treating uretero pelvic junction obstruction and produce good improvement in function and drainage in majority of patients. If compared with newer techniques open Pyeloplasty is the gold standard