PELVIURETERIC OBSTRUCTION IN CHILDREN: CONVENTIONAL PYELOPLASTY IS SUPERIOR TO ENDO‐UROLOGY

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Abstract
Background: Hydronephrosis secondary to periureteric junction (PUJ) obstruction is common in infancy and childhood. Pyeloplasty has until recently been the accepted method of management, but alternative endo‐urological techniques have evolved in the last decade. Methods: Published results of conventional pyeloplasty for primary PUJ obstruction in children were compared with published results of endo‐urological procedures. Results: Sixty‐six pyeloplasties were performed in 61 children in a 6‐year period. During a similar period, 63 primary endo‐urological procedures were reported in the literature. The success rate after pyeloplasty was 95.5% compared with 65% after endo‐urology. Conclusions: Conventional pyeloplasty is superior to endo‐urology and should remain the gold standard for the treatment of primary PUJ obstruction in children.