The Effect of Pyeloplasty on Renal Cortical Thickness in the Pediatric Population with Ureteropelvic Junction Obstruction
DOI:
https://doi.org/10.37762/jgmds.10-3.481Keywords:
Pyeloplasty, ureteropelvic junction obstruction, renal cortical thicknessAbstract
OBJECTIVES
To determine the effect of pyeloplasty on renal cortical thickness in the pediatric population with ureteropelvic junction obstruction (UPJO).
METHODOLOGY
This retrospective study examined the renal cortical thickness in 100 pediatric patients diagnosed with ureteropelvic junction obstruction (UPJO). The study employed a non-probability consecutive sampling technique to select participants. Inclusion criteria encompassed children below five years of age, of both genders, with Pakistani nationality, and availability of both pre-and post-operative ultrasound data. Cases presenting with ureterovesical junction obstruction or vesicoureteral reflux were excluded from the analysis. Data collection involved gathering information on age, gender, and cortical thickness, with renal cortical thickness assessed through ultrasonography. A paired t-test was employed to compare the renal cortical thickness between the preoperative assessment and the 3-month follow-up.
RESULTS
The females were 40(40%) and males were 60(60%). The mean age was 33.51±22.91months. The mean cortical thickness before pyeloplasty was 5.23±0.93mm and 8.25 ± 2.34mm after pyeloplasty. The renal cortical thickness in both genders significantly increased to 3mm (p<0.001). The cortical thickness before pyeloplasty was 5.23±0.93mm, and after was 8.25±2.34mm.
CONCLUSION
Renal cortical thickness can be improved after pyeloplasty in patients with ureteropelvic junction obstruction.
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Copyright (c) 2023 Asif Khan, Muhammad Rashid Ullah , Nizamuddin, Syed Mumtaz Ali, Fazli Elahi
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