A Clinical Review of the Pyeloplasty / 대한비뇨기과학회지

ABSTRACT

Primary hydronephrosis due to UPJ obstruction is not infrequent urologic disorder. The causes of the obstruction art categorized into extrinsic, intrinsic and ureterovascular abnormalities. The most important thing is accurate evaluation of the dynamic physiology of UPJ with the X- ray findings. We have experienced 16 cases of pyeloplasty during the last 10 years. We reported the evaluations of the cases with review of the articles. Results were. 1. Of these 16 cases, 13 were male and 3 were female and 11 were left and 5 were right hydronephrosis. 4 were children and 9 were 3rd. and 4th. decades 2. IVP, RGP, Ultrasonography and diuretic renogram were done preoperatively 3. Pyeloplasty were done by the dismembered in 13, Culp spiral flap in 2 and pyelopyeloplasty in 1. 4. Indigocarmin test, AGP, fluoroscopy and Whitaker test were done postoperatively. 5. There were improvement in 12 cases but failed in 3 cases.