Evaluation of the Management Results of Uretero-Pelvic Junction Abnormalities
2015
Objectives: To evaluate therapeutic and
prognosis of Uretero-pelvic junction abnomalities. Methods: This article was
retrospective and descriptive, covering a period of six months, running from
January 1st to December 31st, 2013 and conducted to evaluate therapeutic
and prognosis of Uretero-pelvic junction abnormalities. Included criteria were
all patients whose diagnosis was abnormalities of the uretero-pelvic junction
and had been confirmed after para clinical explorations. The stricture of the
junction after a first kidney surgery did not include. The Creatinine level has
considered high from 15 mg/l. Results: The median age was 35 years old. Age
groups (30 - 40) years old have predominated in 36.2%. A male predominance had
been noted in 62.3% versus 37.7% women. The most affected occupation was the
officials in 37.7% of cases. The main reason for consultation was lumbar pain
in 97.1%. The high creatinine level has observed in 19 patients (27.5%).
Sixty-one patients (88.41%) have been operated. An abstention has been observed
in 7 patients (10.14%) and one patient died before the surgical issue in renal
failure. The early post-operative course has been uneventful in 78.7% (48
cases) and complicated in 21.3% (21 cases). Conclusions: Open surgery tends to disappear
at the expense of the endopyelotomy and laparoscopy which gives best results.
However, it is still relevant.
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