Laparoscopic Assisted Dismembered Pyeloplasty Versus Open Pyeloplasty in (UPJO) With Poorly Function Kidney in Pediatrics

Al-Azhar University

Status: Completed

Conditions: Uretro-pelvic Junction Obstruction; Poorly Function Kidney

Treatments: Procedure: Dismembered Pyeloplasty

Study type: Observational

Funder types: Other

Identifiers

NCT05953571

8-1-2022-000048

Details and patient eligibility

About

The management of kidneys with poor function less than 10% has been the subject of debate for more than a decade. Some authors have recommended nephrectomy while others favor renal salvage (pyeloplasty). the investigators reported their experience of lap assisted pyeloplasty in poorly functioning kidneys in the pediatric age group, concerning on the benefits of a minimally invasive method for repair of UPJO, in comparison with open approach.

Enrollment: 65 patients

Sex: All

Ages: 2 months to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with hydronephrosis diagnosed as UPJO
• Antero-Posterior pelvic diameter more than 20 mm
• renal function equal or less than 10%,
• corrected by laparoscopic assisted or open pyeloplasty

Exclusion criteria

• Patients with ureteral dilatation (VUR),
• renal function more than 10%,
• acquired and recurrent cases

Trial design

65 participants in 2 patient groups

GroupA

Description:

Laparoscopic assisted dismembered pyeloplasty in poorly function kidney

Treatment:

Procedure: Dismembered Pyeloplasty

Group B

Description:

Open dismembered pyeloplasty in poorly function kidney

Treatment:

Procedure: Dismembered Pyeloplasty