ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN
Introduction. Background. The development of new medical technologies and the search for minimally invasive methods for the treatment of a number of urological diseases makes us take a fresh look at the tactics of treating ureteropelvic junction obstruction in children. The goal was to determine the...
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Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
2017-07-01
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| Series: | Вестник урологии |
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| Online Access: | https://www.urovest.ru/jour/article/view/144 |
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| author | S. N. Zorkin V. I. Gubarev V. Y. Salnikov I. V. Filinov E. I. Petrov Sh. G. Malikov I. N. Ponomarchuk |
| author_facet | S. N. Zorkin V. I. Gubarev V. Y. Salnikov I. V. Filinov E. I. Petrov Sh. G. Malikov I. N. Ponomarchuk |
| author_sort | S. N. Zorkin |
| collection | DOAJ |
| description | Introduction. Background. The development of new medical technologies and the search for minimally invasive methods for the treatment of a number of urological diseases makes us take a fresh look at the tactics of treating ureteropelvic junction obstruction in children. The goal was to determine the efficacy of high-pressure balloon dilatation (HPBD) of ureteropelvic junction (UPJ) in children with hydronephrosis.Material and Methods. The study included children from different regions of the Russian Federation aged from 2 months to 14 years with a proven ureteropelvic junction obstruction (UPJO) based on a clinical and instrumental examination. Children underwent HPBD of the UPJO zone with its subsequent stenting. The stent was removed after 4-6 weeks. Evaluation of the results was carried out 3-6 months after the stent removal.Results. The HPBD of the UPJO zone showed a total efficiency of 73%. During the derivation of urine by the stent, clear decompression of the renal collective system was found. Migration of stents and other complications, including urinary tract infections, were not noted. There were an increase in the level of obstruction in 11 (26,8%) patients after stent removal, which required routine surgical treatment by the Heines-Anderson pyeloplasty.Conclusion. The HPBD has proved to be a technically simple and effective procedure that can become an alternative to open surgery. |
| format | Article |
| id | doaj-art-913c3a65ffd1492b946ece1036a9bf4f |
| institution | Matheson Library |
| issn | 2308-6424 |
| language | Russian |
| publishDate | 2017-07-01 |
| publisher | Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education |
| record_format | Article |
| series | Вестник урологии |
| spelling | doaj-art-913c3a65ffd1492b946ece1036a9bf4f2025-08-04T12:51:12ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242017-07-015251110.21886/2308-6424-2017-5-2-5-11114ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDRENS. N. Zorkin0V. I. Gubarev1V. Y. Salnikov2I. V. Filinov3E. I. Petrov4Sh. G. Malikov5I. N. Ponomarchuk6National Scientific and Practical Center of Children’s HealthNational Scientific and Practical Center of Children’s HealthUlyanovsk Regional Children’s Clinical HospitalNational Scientific and Practical Center of Children’s HealthNational Scientific and Practical Center of Children’s HealthNational Scientific and Practical Center of Children’s HealthNational Scientific and Practical Center of Children’s HealthIntroduction. Background. The development of new medical technologies and the search for minimally invasive methods for the treatment of a number of urological diseases makes us take a fresh look at the tactics of treating ureteropelvic junction obstruction in children. The goal was to determine the efficacy of high-pressure balloon dilatation (HPBD) of ureteropelvic junction (UPJ) in children with hydronephrosis.Material and Methods. The study included children from different regions of the Russian Federation aged from 2 months to 14 years with a proven ureteropelvic junction obstruction (UPJO) based on a clinical and instrumental examination. Children underwent HPBD of the UPJO zone with its subsequent stenting. The stent was removed after 4-6 weeks. Evaluation of the results was carried out 3-6 months after the stent removal.Results. The HPBD of the UPJO zone showed a total efficiency of 73%. During the derivation of urine by the stent, clear decompression of the renal collective system was found. Migration of stents and other complications, including urinary tract infections, were not noted. There were an increase in the level of obstruction in 11 (26,8%) patients after stent removal, which required routine surgical treatment by the Heines-Anderson pyeloplasty.Conclusion. The HPBD has proved to be a technically simple and effective procedure that can become an alternative to open surgery.https://www.urovest.ru/jour/article/view/144hydronephrosisminimum invasive surgical treatmentendoscopic high pressure balloon dilatationmicturational usmag 3 lasix nephroscintigrafy |
| spellingShingle | S. N. Zorkin V. I. Gubarev V. Y. Salnikov I. V. Filinov E. I. Petrov Sh. G. Malikov I. N. Ponomarchuk ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN Вестник урологии hydronephrosis minimum invasive surgical treatment endoscopic high pressure balloon dilatation micturational us mag 3 lasix nephroscintigrafy |
| title | ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN |
| title_full | ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN |
| title_fullStr | ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN |
| title_full_unstemmed | ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN |
| title_short | ENDOSCOPIC HIGH PRESSURE BALLOON DILITATION AS A METHOD OF TREATMENT OF URETEROPELVIC JUNCTION OBSTRUCTION IN CHILDREN |
| title_sort | endoscopic high pressure balloon dilitation as a method of treatment of ureteropelvic junction obstruction in children |
| topic | hydronephrosis minimum invasive surgical treatment endoscopic high pressure balloon dilatation micturational us mag 3 lasix nephroscintigrafy |
| url | https://www.urovest.ru/jour/article/view/144 |
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