Late outcomes of laparoscopic pyeloplasty: a single institution study with follow-up longer than 5 years

Tomasz Szydelko; Wojciech Apoznański; Dariusz Janczak; Wojciech Panek

doi:10.5114/wiitm.2015.54073

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2015
vol. 10

Send email

Copy url:

abstract:

Original paper

Late outcomes of laparoscopic pyeloplasty: a single institution study with follow-up longer than 5 years

Tomasz Szydelko

,

Wojciech Apoznański

,

Dariusz Janczak

,

Wojciech Panek

Videosurgery Miniinv 2015; 10 (3): 413–417

DOI: https://doi.org/10.5114/wiitm.2015.54073

Online publish date: 2015/09/14

View full text Get citation

PlumX metrics:

Introduction: Although most urologists agree that failures after laparoscopic pyeloplasty occur usually within a year after the operation, late failures are also reported.

Aim: To assess late results of laparoscopic pyeloplasty.

Material and methods: Seventy-eight of ninety-five patients who had been operated on between November 2001 and September 2009 were notified about the possibility of diuretic renography (DR). Excluded from the study were 3 patients who failed within 1 year after surgery, 2 others with late recurrences at 1.5 and 2.5 years postoperatively, 8 patients who were lost to follow-up immediately after the operation, 2 patients with equivocal DR after pyeloplasty and 2 cases with open conversion. Twenty-six (33.3%) patients responded to the notification. Mean follow-up was 89 months. In all patients DR, ultrasound, serum creatinine concentration, estimatated glomerular filtration rate and the assessment of symptoms were carried out. Success was defined as T1/2 ≤ 12 min and improved or stable differential renal function on DR.

Results: Diuretic renography revealed no obstruction in 25/26 (96%) patients. One woman was not appropriately hydrated, which rendered the result of the investigation unreliable. Mean half time to tracer clearance was 6.74 min. Mean split renal function on the operated side was 44.62%. Mean pain strength according to the VAS scale was 1.54.

Conclusions: Our study seems to indicate that recurrence after laparoscopic pyeloplasty in the follow-up period longer than 5 years is very unlikely. However, until more data are available, patients should undergo long-term follow-up to receive the benefit of the operation.

keywords:

Late outcomes of laparoscopic pyeloplasty: a single institution study with follow-up longer than 5 years

Tomasz Szydelko , Wojciech Apoznański , Dariusz Janczak , Wojciech Panek

laparoscopic pyeloplasty, results, long-term follow-up

Tomasz Szydelko

,

Wojciech Apoznański

,

Dariusz Janczak

,

Wojciech Panek