Dismembered Pyeloplasty With and Without After Coming Stent

Dismembered Pyeloplasty With and Without After Coming Stent in Neonatal Ureteropelvic Junction Obstruction

to compare outcome of pyeloplasty in pediatric population less than 6 months in age using an after coming stent versus stentless pyeloplasty.

A prospective randomized control study including patients divided into two groups,all patient undergoes dismembered pyeloplasty First group will be with an after coming stent ,Second group will be stentless to compare outcome of pyeloplasty in pediatric population less than 6 months in age

Inclusion Criteria:

• Pelvi-ureteric junction obstruction (PUJO)
• Asymptomatic obstruction with reduced function (less than 35-40%)
• Asymptomatic obstruction with antero-posterior diameter exceed 40 mm
• Asymptomatic obstruction with deterioration on conservative follow up.
• Symptomatic PUJ obstruction, e.g. pain, renal mass, fever and stones.

Exclusion Criteria:

• Secondary Pelvi-ureteric junction obstruction
• Solitary kidney
• Gross pyuria
• Ectopic kidney
• Dilated ureter