Functional Outcome After Minimally Invasive Pyeloplasty for Adult Patients With UPJO
- Conditions
- Ureteropelvic Junction Obstruction
- Interventions
- Procedure: pyeloplasty
- Registration Number
- NCT05895422
- Lead Sponsor
- Cairo University
- Brief Summary
an intervention study on adult patients with uretero-pelvic junction obstruction (UPJO) due to crossing vessels would be managed either through classic dismembered pyeloplasty or vascular hitch.
- Detailed Description
in recent studies, some patients with crossing vessels UPJO could be managed by vascular displacement of these vessels, what is named as vascular hitch or vasculopexy in a way to avoid classic dismembered technique. this newer technique is supposed to provide comparable results to the classic technique but with lesser operative time and shorter hospital stay. in the era of minimally invasive procedures, robotic assisted or laparoscopic vascular hitch could provide many advantages over the classic open technique.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 17
- all patients with UPJO above 18 years
- UPJO caused by crossing vessels confirmed by CT angiography
- Symptomatic UPJO
- recurrent UPJO after a previous trial of open repair ,
- secondary UPJO after open renal surgery.
- UPJO in non functioning kidney
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Dismembered pyeloplasty pyeloplasty classic Anderson-Hynes procedure vascular hitch pyeloplasty displacement of the lower polar crossing vessels causing the UPJO
- Primary Outcome Measures
Name Time Method comparing the two techniques regarding the success rate 2 years both techniques are supposed to have similar results
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Faculty of Medicine
🇪🇬Cairo, Egypt