Choice of the method of surgical treatment of hydronephrosis due to congenital stenosis of the pyeloureteral segment
Moskalenko, V.Z.; Mintser, O.P.; Veselyĭ, S.V.; Sopov, G.A.; Mal'tsev, V.N.; Kukhtin, M.A.
Klinicheskaia Khirurgiia 6: 24-27
1994
ISSN/ISBN: 0023-2130 PMID: 7823455 Document Number: 425396
The results of treatment of 139 patients with congenital pyelo-ureteric segment (PUS) narrowing were analyzed. Plastic operation was conducted in 117 of them, PUS plasty with the flap application--in 22. The prognostic significance of sign's norm deviations of the PUS diameter and length ratio as a risk factor was studied to substantiate the numerical criterion--of operation method choice. In accordance with this prognostic significance the value of Student's criterion was calculated. When the value of ratio is no more than 0.3--the narrowed part resection with subsequent ureteropelviostomy is indicated, and when this value is 0.31 or more--the PUS plasty with the flap application.