Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?

Objective: To compare the outcomes of transurethral incision (TUI) and upper pole partial nephrectomy (PN) in patients with duplex system ureterocoele (DSU). Patients and methods: We retrospectively reviewed the medical charts of patients who presented with DSU in the first-year of life and were man...

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Autores principales:	Amr Hodhod, Yasser A. Noureldin, Mohamed El-Sherbiny
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/fa9e7a9caf164c0dad49f3815cf9c6e9
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spelling	oai:doaj.org-article:fa9e7a9caf164c0dad49f3815cf9c6e92021-12-02T12:24:08ZIs transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?2090-598X10.1016/j.aju.2017.08.001https://doaj.org/article/fa9e7a9caf164c0dad49f3815cf9c6e92017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300979https://doaj.org/toc/2090-598XObjective: To compare the outcomes of transurethral incision (TUI) and upper pole partial nephrectomy (PN) in patients with duplex system ureterocoele (DSU). Patients and methods: We retrospectively reviewed the medical charts of patients who presented with DSU in the first-year of life and were managed with either TUI or PN. Patientsâ demographics, ultrasonography examinations, voiding cystourethrogram studies, and dimercaptosuccinic acid scans were reviewed. Also, the postoperative vesico-ureteric reflux status and febrile urinary tract infection occurrences, and subsequent surgical interventions were identified. The outcomes for the DSU location (intravesical vs extravesical) were compared. Results: Between January 1995 and September 2015, 44 patients underwent TUI (31 patients) or PN (13). The TUI patients presented at a median age of 1.1Â months and were followed-up for a median of 47.4Â months, whilst those who underwent PN presented at a median age of 1.06Â months and were followed-up for a median of 44.23Â months. Postoperatively, in the TUI group, four of 15 units had improved renal function and 11 units had stable function. In the PN group, five of nine units had stable renal function and the remaining four had worsened function (PÂ =Â 0.019). Furthermore, 15 of the 31 patients (48%) in the TUI group required second interventions compared with one of 13 patients in the PN group (PÂ =Â 0.01). There was no significant difference between the outcomes of intravesical and extravesical DSUs after TUI and PN. Conclusion: This study shows significant renal function preservation with TUI compared to PN. However, secondary surgical interventions were higher with TUI. Keywords: Ureterocoele, Duplex system, Nephrectomy, Transurethral incisionAmr HodhodYasser A. NoureldinMohamed El-SherbinyTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 4, Pp 319-325 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Amr Hodhod Yasser A. Noureldin Mohamed El-Sherbiny Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
description	Objective: To compare the outcomes of transurethral incision (TUI) and upper pole partial nephrectomy (PN) in patients with duplex system ureterocoele (DSU). Patients and methods: We retrospectively reviewed the medical charts of patients who presented with DSU in the first-year of life and were managed with either TUI or PN. Patientsâ demographics, ultrasonography examinations, voiding cystourethrogram studies, and dimercaptosuccinic acid scans were reviewed. Also, the postoperative vesico-ureteric reflux status and febrile urinary tract infection occurrences, and subsequent surgical interventions were identified. The outcomes for the DSU location (intravesical vs extravesical) were compared. Results: Between January 1995 and September 2015, 44 patients underwent TUI (31 patients) or PN (13). The TUI patients presented at a median age of 1.1Â months and were followed-up for a median of 47.4Â months, whilst those who underwent PN presented at a median age of 1.06Â months and were followed-up for a median of 44.23Â months. Postoperatively, in the TUI group, four of 15 units had improved renal function and 11 units had stable function. In the PN group, five of nine units had stable renal function and the remaining four had worsened function (PÂ =Â 0.019). Furthermore, 15 of the 31 patients (48%) in the TUI group required second interventions compared with one of 13 patients in the PN group (PÂ =Â 0.01). There was no significant difference between the outcomes of intravesical and extravesical DSUs after TUI and PN. Conclusion: This study shows significant renal function preservation with TUI compared to PN. However, secondary surgical interventions were higher with TUI. Keywords: Ureterocoele, Duplex system, Nephrectomy, Transurethral incision
format	article
author	Amr Hodhod Yasser A. Noureldin Mohamed El-Sherbiny
author_facet	Amr Hodhod Yasser A. Noureldin Mohamed El-Sherbiny
author_sort	Amr Hodhod
title	Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
title_short	Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
title_full	Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
title_fullStr	Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
title_full_unstemmed	Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
title_sort	is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/fa9e7a9caf164c0dad49f3815cf9c6e9
work_keys_str_mv	AT amrhodhod istransurethralincisionbetterthanupperpolepartialnephrectomyformanagementofduplexsystemureterocoelediagnosedinthefirstyearoflife AT yasseranoureldin istransurethralincisionbetterthanupperpolepartialnephrectomyformanagementofduplexsystemureterocoelediagnosedinthefirstyearoflife AT mohamedelsherbiny istransurethralincisionbetterthanupperpolepartialnephrectomyformanagementofduplexsystemureterocoelediagnosedinthefirstyearoflife
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Is transurethral incision better than upper pole partial nephrectomy for management of duplex system ureterocoele diagnosed in the first year of life?

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