A Clinical Observation on 7 Cases of Ureteropyeloplasty / 대한비뇨기과학회지

ABSTRACT

A clinical observation was made on the 7 cases of ureteropyeloplasty secondary to ureteropelvic junction obstruction during the period from July, 1980 to January, 1982 and brief review of literature was made. 1. Hydronephrosis secondary to obstruction at the ureteropelvic junction was caused by congenital ureteropelvic junction stricture in 4 cases, aberrant vessels in 1 Case and combined cases in 2 cases. 2. The youngest age was 15 year old and the oldest 53 year old. The ratio of male to female and left to right were 34 and 21. 3. The types of ureteropyeloplasty were Anderson-Hynes pyeloplasty in 5 cases, Sand Cormoily tube-flap pyeloplasty in 1 case and nondismembered pyeloplasty with elimination of aberrant vessels in 1 case. 4. Multiple holed stent was used in all cases. 5. Postoperative complications were developed in2 cases, which were intractable urinary leakage and restricture and were treated by nephrostomy and nephrectomy respectively. 6. Follow up study was performed in 6 cases. Among 7 cases of ureteropyeloplasty, good results included in 4 cases, fair in 1 case and poor in 2 cases.