Abstract

Aim: To evaluate safety, efficacy and feasibility of Ureteroscopic Laser Endopyelotomy in R-PUJO in Pediatric age group

Patients and Methods: The evaluation included 13 patients; who's age ranged from 20 month to 13 years old. Out of the 13, 12 patients were symptomatic. The thirteenth, youngest had a PUJO of the lower moiety of duplex kidney and had initial surgery uretero-ureterostomy. This same patient had persistent dilatation of the lower moiety on follow up. All patients have US, MAG3 pre -operative and 7 of them had MRU. All had followed up US in 3,6,12 months and MAG3 after 12 months of the procedure.

Results: The average operative time was 45 minutes (range from 30 to 60 minutes) and hospital stay range from 1-3 days. An efficacious clinical and functional outcome was maintained after an average follow up of 12 months (range from 8 to 24 months). All symptomatic children have completely relieved with improvement in radiological (US & MAG3) follow up. The youngest patient showed considerable improvement which was confirmed radiologically.

Conclusion: The outcome of our study has revealed that the Pediatric uretroscopic laser endopyelotomy in R-PUJO is safe and feasible procedure, it could replace redo surgery