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Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience

Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, en...

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Main Author: Mbwambo, Orgeness Jasper
Other Authors: Lazarus, John
Format: Thesis
Language:English
English
Published: Division of General Surgery 2025
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access_status_str Open Access
author Mbwambo, Orgeness Jasper
author2 Lazarus, John
author_browse Lazarus, John
Mbwambo, Orgeness Jasper
author_facet Lazarus, John
Mbwambo, Orgeness Jasper
author_sort Mbwambo, Orgeness Jasper
collection Thesis
description Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, encrustation, migration, breakage, and increased cost of surgery to remove the stent. Therefore, recently stentless pyeloplasty has been advocated as a feasible alternative. This study aimed to evaluate the outcome of stentless dismembered pyeloplasty for congenital ureteroplevic junction obstruction. Methods We retrospectively reviewed the data of paediatric patients who underwent dismembered pyeloplasty due to congenital ureteropelvic junction obstruction (UPJO) between January 2008 and July 2022. Patients' demographics, indications for surgery, follow up data and complications were recorded on data extraction sheet. The success rate was defined as lack of need for intervention or reoperation postoperatively. This
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institution University of Cape Town (South Africa)
language English
eng
last_indexed 2026-06-10T12:33:33.643Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher Division of General Surgery
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spelling oai:open.uct.ac.za:11427/41069 Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience Mbwambo, Orgeness Jasper Lazarus, John Medicine Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, encrustation, migration, breakage, and increased cost of surgery to remove the stent. Therefore, recently stentless pyeloplasty has been advocated as a feasible alternative. This study aimed to evaluate the outcome of stentless dismembered pyeloplasty for congenital ureteroplevic junction obstruction. Methods We retrospectively reviewed the data of paediatric patients who underwent dismembered pyeloplasty due to congenital ureteropelvic junction obstruction (UPJO) between January 2008 and July 2022. Patients' demographics, indications for surgery, follow up data and complications were recorded on data extraction sheet. The success rate was defined as lack of need for intervention or reoperation postoperatively. This 2025-03-03T08:49:03Z 2025-03-03T08:49:03Z 2024 2025-02-28T13:34:04Z Thesis / Dissertation Masters MSc http://hdl.handle.net/11427/41069 en eng application/pdf Division of General Surgery Faculty of Health Sciences University of Cape Town
spellingShingle Medicine
Mbwambo, Orgeness Jasper
Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience
thesis_degree_str Master's
title Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience
title_full Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience
title_fullStr Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience
title_full_unstemmed Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience
title_short Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience
title_sort stentless pyeloplasty for paediatric uretero pelvic junction obstruction a 15 year experience
topic Medicine
url http://hdl.handle.net/11427/41069
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