Does the Histopathologic Pattern of the Ureteropelvic Junction Affect the Outcome of Pyeloplasty

作者: Hasan Deliktas , Abdullah Gedik , Selver Ozekinci , Oktay Issi , Hayrettin Sahin

DOI: 10.22037/UJ.V12I1.2659

关键词: UreterYoung adultMedicineSurgeryPopulation studyPyeloplastyElastinFibrosisInterstitial cell of CajalRadiography

摘要: Abstract Purpose: To investigate the effects of histopathologic pattern obstructed ureteropelvic junction (UPJ) specimens, including collagen type 3, elastin, fibrosis and Cajal cells, on outcome pyeloplasty. Materials Methods: Histopathological specimens obtained following Anderson-Hynes pyeloplasty from 52 patients with intrinsic obstruction (UPJO) between January 2005 2008 were evaluated histopathologically. Patients extrinsic or secondary UPJO excluded. Preoperative postoperative radiographic evaluations performed either via diuretic renography intravenous pyelography, both. Six months post-surgery divided into 2 groups, as successful surgery (group 1) unsuccessful 2). findings (collagen cells) in each group statistically compared. Results: The study included (21 female 31 male). Mean age entire population was 39.42 ± 14.5 years, versus 39.63 14.9 years 1 (n = 47) 37.4 10.0 5). Median follow-up 18 months. There weren't any significant differences fibrosis, cells groups ( P > .05). Conclusion: UPJ not a factor associated success Based present findings, we conclude that surgical technique is more important than for treatment UPJO.

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