MP48-14 OUTCOMES OF LAPAROSCOPIC PYELOPLASTY IN POORLY FUNCTIONING KIDNEYS: A TERTIARY CARE INSTITUTE's PERSPECTIVE

You have accessJournal of UrologyReconstruction: Ureteral Reconstruction (Including Pyeloplasty) and Bladder Reconstruction (Including Trauma-Related Fistula) I (MP48)1 May 2024MP48-14 OUTCOMES OF LAPAROSCOPIC PYELOPLASTY IN POORLY FUNCTIONING KIDNEYS: A TERTIARY CARE INSTITUTE's PERSPECTIVE Vikram Singh, Shashank Tripathi, Mahendra Singh, Kartik Sharma, Deepak Prakash Bhirud, Shivcharan Navriya, Rahul Jena, Gautam Ram Choudhary, and Arjun Singh Sandhu Vikram SinghVikram Singh , Shashank TripathiShashank Tripathi , Mahendra SinghMahendra Singh , Kartik SharmaKartik Sharma , Deepak Prakash BhirudDeepak Prakash Bhirud , Shivcharan NavriyaShivcharan Navriya , Rahul JenaRahul Jena , Gautam Ram ChoudharyGautam Ram Choudhary , and Arjun Singh SandhuArjun Singh Sandhu View All Author Informationhttps://doi.org/10.1097/01.JU.0001009512.15743.d7.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Laparoscopic pyeloplasty is a well-established surgical procedure for the management of ureteropelvic junction obstruction. However, its effectiveness in cases of poorly functioning kidneys remains a subject of debate. This study aimed to compare the outcomes of laparoscopic pyeloplasty in poorly functioning kidneys with renal function ranging from 15% to 30%. METHODS: We retrospectively analysed a cohort of patients who underwent laparoscopic pyeloplasty between January 2019 and July 2023. Only those patients were included who had preoperative differential renal function between 15% to 30%. Patients were divided into two groups based on preoperative renal function: Group A (15% to 20%) and Group B (20% to 30%). Surgical success, defined as improvement in differential renal function, improvement in Effective renal plasma flow (ERPF) and symptom improvement was the primary outcome measure. Secondary outcomes included operative time, postoperative complications, and length of hospital stay. RESULTS: A total of 121 patients were included in the study, with 51 in Group A and 70 in Group B. There was no statistically significant difference in surgical success between the two groups (p=0.49). Both groups showed significant improvement in symptoms (VAS SCORE) postoperatively. Postoperative complications (p=0.590), duration of surgery (p=0.260) and length of hospital stay (p=0.169) were similar between the two groups. Furthermore, there was a significant increase in the postoperative ERPF (Group A; p value=0.001, Group B; p value=0.001) and differential renal function as compared to the preoperative values within the same group (Group A; p value=0.001, Group B; p value=0.001). The analysis revealed that there was a significant improvement in curve types before and after the surgical procedure within Group A and group B, as determined by the Wilcoxon Signed Ranks Test.(Group A; p value=0.025, Group B; p value=0.005). CONCLUSIONS: Laparoscopic pyeloplasty is an effective and safe surgical option for patients with poorly functioning kidneys, yielding outcomes similar to those with good renal function. This study provides evidence to support the use of laparoscopic pyeloplasty as a treatment modality for UPJ obstruction in this patient population. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e778 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Vikram Singh More articles by this author Shashank Tripathi More articles by this author Mahendra Singh More articles by this author Kartik Sharma More articles by this author Deepak Prakash Bhirud More articles by this author Shivcharan Navriya More articles by this author Rahul Jena More articles by this author Gautam Ram Choudhary More articles by this author Arjun Singh Sandhu More articles by this author Expand All Advertisement PDF downloadLoading ...