Actas urologicas espanolas · 2006
[Management endourologic of pyeloureteral junction stenosis].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Parente Hernández A, Angulo Madero J M, Romero Ruiz R, Cañizo López A, Laín Fernández A, Vázquez Estévez J
Аннотация
OBJECTIVES: To report our experience with endourologic methods in the treatment of pyeloureteral stenosis in children.
MATERIALS AND METHODS: From July 2004, 7 patients from 9 months to 15 years old with pyeloureteral junction stenosis (PUJ) diagnosis underwent endourologic repair. An endourological dilatation was made under radioscopic control. The procedures consist of an initial cystoscopy with a retrograde placement of catheter (4 or 5 Fr) and the guide wire (0,014''-or 0,035''). The high pressure balloon (3 to 5 Fr) was then railroad over the wire and positioned across the stenosis for dilatation. A double J stent (3 to 6 Fr) was then introduced, remaining it during 6 weeks.
RESULTS: There was no intraoperative complications. Median inhospital stay was 2 days (range, 2 to 8). The double J stent was removed without complications. All patients are asymptomatic with improvement in excretion times (MAG3 renography) and antero-posterior renal pelvis diameter (ultrasound measurement).
CONCLUSIONS: Balloon dilatation is a viable option in the management of PUJ obstruction even in children under one year old, with minimal morbidity.
MATERIALS AND METHODS: From July 2004, 7 patients from 9 months to 15 years old with pyeloureteral junction stenosis (PUJ) diagnosis underwent endourologic repair. An endourological dilatation was made under radioscopic control. The procedures consist of an initial cystoscopy with a retrograde placement of catheter (4 or 5 Fr) and the guide wire (0,014''-or 0,035''). The high pressure balloon (3 to 5 Fr) was then railroad over the wire and positioned across the stenosis for dilatation. A double J stent (3 to 6 Fr) was then introduced, remaining it during 6 weeks.
RESULTS: There was no intraoperative complications. Median inhospital stay was 2 days (range, 2 to 8). The double J stent was removed without complications. All patients are asymptomatic with improvement in excretion times (MAG3 renography) and antero-posterior renal pelvis diameter (ultrasound measurement).
CONCLUSIONS: Balloon dilatation is a viable option in the management of PUJ obstruction even in children under one year old, with minimal morbidity.