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Laparoscopic Assisted Dismembered Pyeloplasty Versus Open Pyeloplasty in (UPJO) With Poorly Function Kidney in Pediatrics

Completed
Conditions
Uretro-pelvic Junction Obstruction
Poorly Function Kidney
Interventions
Procedure: Dismembered Pyeloplasty
Registration Number
NCT05953571
Lead Sponsor
Al-Azhar University
Brief Summary

The management of kidneys with poor function less than 10% has been the subject of debate for more than a decade. Some authors have recommended nephrectomy while others favor renal salvage (pyeloplasty). the investigators reported their experience of lap assisted pyeloplasty in poorly functioning kidneys in the pediatric age group, concerning on the benefits of a minimally invasive method for repair of UPJO, in comparison with open approach.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
65
Inclusion Criteria
  • Patients with hydronephrosis diagnosed as UPJO
  • Antero-Posterior pelvic diameter more than 20 mm
  • renal function equal or less than 10%,
  • corrected by laparoscopic assisted or open pyeloplasty
Exclusion Criteria
  • Patients with ureteral dilatation (VUR),
  • renal function more than 10%,
  • acquired and recurrent cases

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
GroupADismembered PyeloplastyLaparoscopic assisted dismembered pyeloplasty in poorly function kidney
Group BDismembered PyeloplastyOpen dismembered pyeloplasty in poorly function kidney
Primary Outcome Measures
NameTimeMethod
Measurments A-P renal pelvis diameter12 months

ultrasound measuerment of renal pelvis diameter by mm

Renal function12 months post-operative

Split renal function by Renal scan (DTPA) %

Secondary Outcome Measures
NameTimeMethod
operative timeone month

operative time by minutes

Trial Locations

Locations (1)

Mohammad Daboos

🇪🇬

Cairo, Select, Egypt

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