Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children

• Main Authors: Rajendra B Nerli, Mallikarjun N Reddy, Sujata M Jali, Murigendra B Hiremath
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Laparoscopy; pyeloplasty; ureteropelvic junction obstruction
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=72;epage=75;aulast=Nerli
• ISSN: 0972-9941; 1998-3921

Introduction: Laparoscopic dismembered pyeloplasty is an acceptable option for ureteropelvic junction (UPJ) obstruction in the paediatric population. We compared our results of laparoscopic dismembered and non-dismembered Foley′s YV pyeloplasty. Materials and Methods: Children presenting with hydronephrosis secondary to UPJ obstruction formed the study group. Foley′s YV plasty was planned whenever it was observed that a tension free dismembered pyeloplasty was not possible in spite of all possible manoeuvres. Children were followed up for urinary infection, and renogram was repeated after 3 months. Results: During the study period, 108 children (63 male and 45 female) with a mean age of 4.94 ± 2.78 years underwent laparoscopic dismembered pyeloplasty and the remaining 11 children (5 male and 6 female) with a mean age of 4.00 ± 1.776 years underwent laparoscopic Foley′s YV plasty. There were no major peri-operative complications noted and conversion to open was not necessary in any child. Renogram done at 3 months post-operatively showed good drainage and improvement of renal function. Conclusions: Laparoscopic Foley′s YV pyeloplasty is a safe and effective technique in appropriately selected cases of primary UPJ obstruction in children.