Pyeloplasty safe, effective in kidneys with poor function also: Study
USA: Pyeloplasty is equally safe and effective in poorly functional kidney and in kidney with better renal function, finds a recent study in the Journal of Pediatric Urology. According to the study, preoperative differential renal function did not predict success rate of pyeloplasty. Patients having DRF ≤10% did not have higher incidence of complications or failure rate.
In short, DRF alone should not effect the management options available for ureteropelvic junction obstruction (UPJO) patients, wrote the authors.
Indications for UPJO treatment include urinary tract infections, symptomatic obstruction, worsening differential renal function (DRF) and/or presence of an obstructive pattern on functional renal scan. Arun K. Srinivasan, Children's Hospital of Philadelphia, Philadelphia, PA, USA, and colleagues hypothesized that low preoperative DRF is not an independent predictor of pyeloplasty failure.
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