authors
-
Nagib Elghawi, Andrzej Borówka, Janusz Judycki
- Z Katedry i Kliniki Urologii Akademii Medycznej w Warszawie.
Kierownik: prof. dr hab. med. A.Borkowski.
keywords
-
children hydronephrosis treatment endopyelotomy.
summary
- P.U.J obstruction constitutes the most common form of upper urinary tract obstruc-
- tion in children. The operative procedure has been used almost exclusively in recent
- years to treat P.U.J obstruction, however this is a dismembered operation of the Anderson-
- Hynes. Encouraged by our success in adult patients, and by success of Wickham 1983
- and others with endopyelotomy (4,9,10), we performed endopyelotomy in two children
- with secondary P.U.J. stenosis (14 year-oldboy and 7 year-old girl). Post endopyeloto-
- my splint was left for 8 and 6 weeks respectively. I.V.P. performed after 6 and 48 months
- showed good results in the boy and 6 months I.V.P. showed persistent obstruction in the
- girl, who was later treated by pyeloplasty operation with good results.
references
- ? 1. Borkowski A.: Odległe wyniki leczenia operacyjnego zwężeń połączenia miednicz-
- kowo-moczowodowego metodą ureterotomia intubata "modo Davis", praca doktorska, War-
- szawa 1973;
- ? 2. Borkowski A.: Nieregularna i nadmierna regeneracja ściany moczowodu i połącze-
- nia miedniczkowo-moczowodowego po uretrotomia intubata: Polski Przegl. Chir. 1975:
- 47, 1435-1439;
- ? 3. Borkowski A., Kazoń M.: Regeneration of 2,5 cm of the ureter, Europ. Urol.1975: 1,
- 245-247;
- ? 4. Borówka A., Wolski Z, Krzeski T., Borkowski A.: Leczenie zwężenia połączenia
- miedniczkowo-moczowodowego metodą endopieloureterotomii. Urol. Pol, 1992, 2, 133-
- 137;
- ? 5.DavisD.M.: Intubated ureterotomy: Surgery, Gynaecology and Obstetrics. 1943, 76,
- 512-523;
-
- ? 6.KorthK., Kuenkel M, ErschigM.: Percutaneous pyeloplasty. Urol. 1988, vol. 31, 6,
- 503-509;
- ? 7. Motola J.A., Fried R., Badlani G.H., Smith A.D.: Failed endopyelotomy: Implica-
- tions for future surgery on the ureteropelvic junction. J. Urol. 1993, 150, 821-823;
- ? 8. Stephens ED.: Ureterovascular hydronephrosis and the "Aberrant" renal yessels. J.
- Urol. 1982, 128, 984-987;
- ? 9. Tan H.L., Najmaldin A., Webb D.R.: Endopyelotomy for pelvi-ureteric junction ob-
- struction in children. Eur. U.Jrol. 1993, 24, 84-88;
- ? 10. Wickham J.E.A., Kellet M.J.: Percutaneous pyelolysis. Eur. Urol. 1983, 9, 122-124.
|