caa a22 4500 475773454 CHVBK 20180406123624.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1023/A:1007187529545 doi (NATIONALLICENCE)springer-10.1023/A:1007187529545 Is visualising ureter before pyeloplasty necessary in adult patients? [Elektronische Daten] [M. Çakan, F. Yalçınkaya, F. Demirel, A. Satır] In this study, we aimed to detect whether or not visualising ureter and ureteropelvic junction (UPJ) preoperatively is necessary in adult patients who have primer UPJ obstruction. Between January 1995 to June 1999, 46 renal units in 45 patients with primer UPJ obstruction were evaluated. The patients were separated into 2 groups. In group 1, intravenous pyelography (IVP) and renal scintigraphy were performed to 17 renal units preoperatively. In group 2, in addition to these methods, either retrogradepyelography (RGP) or antegrade pyelography (AGP) were performed to 29renal units. Renal/bladder sonogram was used in patients with poor renal function in IVP or in renal scintigraphy. All the operations were performed through a flank incision. In group 2, additional information was gained for 8 (27.5%) of the renal units preoperatively. No additional information for this group found intraoperatively. In group 1, we found additionalinformation in 4 (23.53%) of the units intraoperatively. All the pathologiesin both groups were corrected intraoperatively. Double-J (D-J) stent wasused in 6 (35.29%) of the units in group 1 and 8 (27.58%) of the units in group 2 intraoperatively (p > 0.05). In group 2, 4 (13.79%) preoperative complications were seen due to RGP and they were treated either medicallyor conservatively. In the early postoperative period, a complication observed in 1 (5.88%) of the patients in group 1 and 1 of the patients in group 2 (3.44%) (p > 0.05). The first patient was treated with inserting D-Jand the latter one was treated conservatively. In the 3rd postoperative month, success rate was found to be 94.11% in group 1 and 96.55% in group 2 (p > 0.05). Additional pathologies in adult patients with primer UPJobstruction can be corrected intraoperatively through a flank incision.Therefore, imaging of ureter and UPJ may not be necessary in these patients. Kluwer Academic Publishers, 2000 Adult patients nationallicence Pyeloplasty nationallicence Ureter nationallicence Visualization nationallicence Çakan M. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut Yalçınkaya F. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut Demirel F. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut Satır A. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut International Urology and Nephrology Kluwer Academic Publishers 32/1(2000-03-01), 33-35 0301-1623 32:1<33 2000 32 11255 https://doi.org/10.1023/A:1007187529545 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1007187529545 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Çakan M. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Yalçınkaya F. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Demirel F. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Satır A. Department of Urology, SSK Dışkapı Training Hospital, Ankara, Turkey aut NATIONALLICENCE 773 0- International Urology and Nephrology Kluwer Academic Publishers 32/1(2000-03-01), 33-35 0301-1623 32:1<33 2000 32 11255 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer