The effect of pyeloplasty on renal cortical thickness in the pediatric population with ureteropelvic junction obstruction | [Journal of Gandhara Medical and Dental Sciences • 2023]

Author(s):

1. Asif Khan: Department of Peads Urology, Institute of Kidney Diseases,Peshawar, Pakistan

2. Mohammad Rashid Ullah: Senior Registrar, Department of Urology, Saidu Group of Teaching Hospital,Swat, Pakistan

3. Nizamuddin: Department of Urology, Saidu Group of Teaching Hospital,Swat, Pakistan

4. Syed Mumtaz Ali Shah: Miangul Abdul Haq Jahanzeb Kidney Hospital,Swat, Pakistan

5. Fazal Elahi: Department of Urology, Saidu Group of Teaching Hospital,Swat, Pakistan

Abstract:

OBJECTIVES To determine the e?ect of pyeloplasty on renal cortical thickness in the pediatric population with ureteropelvic junction obstruction (UPJO). METHODOLOGY This retrospective study examined the renal cortical thickness in 100 pediatric patients diagnosed with ureteropelvic junction obstruction (UPJO). The study employed a non-probability consecutive sampling technique to select participants. Inclusion criteria encompassed children below ?ve years of age, of both genders, with Pakistani nationality, and availability of both pre-and post-operative ultrasound data. Cases presenting with ureterovesical junction obstruction or vesicoureteral re?ux were excluded from the analysis. Data collection involved gathering information on age, gender, and cortical thickness, with renal cortical thickness assessed through ultrasonography. A paired t-test was employed to compare the renal cortical thickness between the preoperative assessment and the 3-month follow-up. RESULTS The females were 40(40%) and males were 60(60%). The mean age was 33.51±22.91months. The mean cortical thickness before pyeloplasty was 5.23±0.93mm and 8.25 ± 2.34mm after pyeloplasty. The renal cortical thickness in both genders signi?cantly increased to 3mm (p<0.001). The cortical thickness before pyeloplasty was 5.23±0.93mm, and after was 8.25±2.34mm. CONCLUSION Renal cortical thickness can be improved after pyeloplasty in patients with ureteropelvic junction obstruction.

Page(s): 35-38

DOI: 10.37762/jgmds.10-3.481

Published: Journal: Journal of Gandhara Medical and Dental Sciences, Volume: 10, Issue: 3, Year: 2023

Keywords:

Pyeloplasty , Renal Cortical Thickness , Ureteropelvic Junction Obstruction

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