Laparoscopic Assisted Dismembered Pyeloplasty Versus Open Pyeloplasty in (UPJO) With Poorly Function Kidney in Pediatrics

Laparoscopic Assisted Dismembered Pyeloplasty Versus Open Pyeloplasty in (UPJO) With Poorly Function Kidney in Pediatrics

The management of kidneys with poor function less than 10% has been the subject of debate for more than a decade. Some authors have recommended nephrectomy while others favor renal salvage (pyeloplasty). the investigators reported their experience of lap assisted pyeloplasty in poorly functioning kidneys in the pediatric age group, concerning on the benefits of a minimally invasive method for repair of UPJO, in comparison with open approach.

Inclusion Criteria:

• Patients with hydronephrosis diagnosed as UPJO
• Antero-Posterior pelvic diameter more than 20 mm
• renal function equal or less than 10%,
• corrected by laparoscopic assisted or open pyeloplasty

Exclusion Criteria:

• Patients with ureteral dilatation (VUR),
• renal function more than 10%,
• acquired and recurrent cases