Sikandar Ali Mughal, Sirajuddin Soomro.
Pelvi-Ureteric junction obstruction in children.
J Surg Pak Jan ;13(4):163-6.

Objectives To find out modes of presentation and treatment for primary pelvi-ureteric junction (PUJ) obstruction in children. Study design: Descriptive study. Place & Duration of study: Department of Paediatric Surgery Chandka Medical College Hospital Larkana, from June 2003 to June 2008. Patients and Methods All patients who were diagnosed as primary pelvi-ureteric junction obstruction were included in the study. Urine D/R and C/S, blood urea and creatinine, ultrasound, IVU and radio-isotope renal studies were performed in all cases. All underwent open surgery. Results: A total of 25 patients (15 male and 10 female) were managed. The age of patients ranged from 2 months to 13 years (mean 4.6 years). Left side was involved in 13 patients, right side in 11 and 1 patient had bilateral pelvi-ureteric junction obstruction. The clinical presentations were abdominal mass, pain abdomen and urinary symptoms. Twenty two patients underwent Anderson- Hynes pyeloplasty while nephrectomy was done in 3 cases. All patients who under went pyeloplasty recovered uneventfully except three who developed prolonged extravasation of urine. One patient developed wound infection. Average hospital stay was 10 days. Follow up studies showed good renal function on the side of pyeloplasty in 20 cases. Conclusions Pelvi-ureteric junction is common site of obstruction in the upper urinary tract. Post operative recovery of renal function is achieved in majority of patients using Anderson-Hynes pyeloplasty.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com