“The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”
Hussein, M., El Bendary, L., Teleb, M., Kamel, H. (2023). “The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”. EKB Journal Management System, 29(2.1), 1-6. doi: 10.21608/zumj.2020.48695.2009
Mohamed Mohamed Hussein; Lotfy El Bendary; Mohamed Abdelmoneim Teleb; Hussein Kamel. "“The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”". EKB Journal Management System, 29, 2.1, 2023, 1-6. doi: 10.21608/zumj.2020.48695.2009
Hussein, M., El Bendary, L., Teleb, M., Kamel, H. (2023). '“The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”', EKB Journal Management System, 29(2.1), pp. 1-6. doi: 10.21608/zumj.2020.48695.2009
Hussein, M., El Bendary, L., Teleb, M., Kamel, H. “The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”. EKB Journal Management System, 2023; 29(2.1): 1-6. doi: 10.21608/zumj.2020.48695.2009

“The outcomes of minilaparoscopic pyeloplasty in patients more than two Years: “A prospective case series study”

Zagazig University Medical Journal
Article 1, Volume 29, Issue 2.1, March and April 2023, Page 1-6  XML PDF (307.49 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.48695.2009
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Authors
Mohamed Mohamed Hussein email 1; Lotfy El Bendary2; Mohamed Abdelmoneim Teleb3; Hussein Kamel4
1Urology, faculty of medicine, zagazig university, Elsharkia, Egypt.
2Urology Department , Zagazig university
3Urology, Faculty of medicine, Elsharkia, Egypt
4Urology, faculty of medicine, Zagazig university. Elsharkia, Egypt.
Abstract
Background: To evaluate the efficacy of mini-laparoscopy in the management of ureteropelvic junction obstruction as regard: Functional and cosmetic results, complications, and patient’s overall satisfaction.
Methods: a total of 28 patients were prospectively enrolled in this study at Zagazig university hospitals. All patients underwent preoperative laboratory evaluation and radiologic evaluation for assessment of pelvis antro-posterior diameter and maximal cortical thickness in mm using abdominal ultrasonography, and differential renal function, GFR and drainage using renal scintigraphy. All patient underwent transperitoneal minilaparoscopic pyeloplasty. Patients were evaluated postoperatively with documentation of any complication.
Results: Of 33 patients recruited in this study, 25 patients with a mean age of 18.47 ± 8.03 years completed 6 months of follow-up. Mean operative time was 178.2 ± 34.9 minutes. pVAS score at discharge was 0.40 ± 0.21. There were highly statistically significant differences between both preoperative and postoperative ultrasonography and renal scintigraphy results. There is no major perioperative complication as per the Clavien-Dindo classification of surgical complications (grades IV–V). Total PSAQ score was 39.96 ± 2.44
Conclusion: Minilaparoscopic pyeloplasty is a safe and feasible method for treatment of UPJO, as regards to the efficacy it shows excellent functional and cosmetic outcomes.
Keywords
Mini-laparoscopic pyeloplasty (mLP); Patient Scar Assessment Questionnaire (PSAQ); Postoperative Visual Analogue scale (pVAS); Ureteropelvic Junction obstruction (UPJO)
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