TitleAnalysis of the efficacy and risk factors of surgical treatment of recurrent UPJO in adults
AuthorsGao, Wenzhi
Zhang, Lei
He, Yuhui
Tian, Tai
Li, Zhihua
Bai, Liangliang
Shen, Ying
Huang, Chen
Wang, Bing
Zhang, Peng
Feng, Ninghan
Li, Xuechao
Guo, Yuexian
Li, Xuesong
AffiliationPeking Univ, Peking Univ First Hosp, Inst Urol, Natl Urol Canc Ctr, 8 Xishiku St, Beijing 100034, Peoples R China
Third Hosp Hebei Med Univ, Dept Urol, Ziqiang Rd, Shijiazhuang 050000, Hebei, Peoples R China
Jian Gong Hosp, Dept Urol, Beijing 100034, Peoples R China
Peking Univ First Hosp, Dept Urol, Miyun Campus, Beijing 100034, Peoples R China
Emergency Gen Hosp, Dept Urol, Beijing 100034, Peoples R China
Nanjing Med Univ, Wuxi No 2 Peoples Hosp Nanjing Med Univ, Nanjing 214002, Jiangsu, Peoples R China
Fifth Med Ctr Chinese PLA Gen Hosp, Dept Urol, Beijing 100034, Peoples R China
KeywordsURETEROPELVIC JUNCTION OBSTRUCTION
LAPAROSCOPIC PYELOPLASTY
URETERAL STRICTURES
RENAL-FUNCTION
EXPERIENCE
REPAIR
URETEROPLASTY
MANAGEMENT
Issue DateDec-2022
PublisherINTERNATIONAL UROLOGY AND NEPHROLOGY
AbstractBackground To compare the efficacy of secondary pyeloplasty and balloon dilation and to analyze the risk factors for secondary surgical failure in patients with recurrent uretero-pelvic junction obstruction (UPJO). Methods We retrospectively analyzed 65 patients with recurrent UPJO who underwent secondary surgery between September 2011 and March 2019, of whom 33 had complete baseline data and follow-up data. General clinical information, perioperative data, and follow-up results were collected from patients. Risk factors for surgical failure in patients with recurrent UPJO were analyzed using logistic regression. Results The failure rates of secondary pyeloplasty and balloon dilation in secondary surgery were 16.7% and 33.3%, respectively. Univariate analysis showed that ureteral stenosis length and operative time were associated with secondary pyeloplasty and balloon dilatation failure (p < 0.05), and ureteral stenosis length was an independent risk factor for secondary pyeloplasty failure (OR = 0.074, 95% CI: 0.006-0.864, p = 0.038). In the balloon dilation group, treatment failure rates were significantly lower in patients with stenotic segment lengths less than 1 +/- 0.32 cm than in patients with stenotic segment lengths greater than 1 +/- 0.32 cm (p = 0.019). Conclusions The secondary pyeloplasty may provide better benefit. Ureteral stricture length is an independent risk factor for failure of secondary pyeloplasty and a potential risk factor for balloon dilatation. Operation time is a potential risk factor for pyeloplasty and balloon dilatation.
URIhttp://hdl.handle.net/20.500.11897/667965
ISSN0301-1623
DOI10.1007/s11255-022-03439-3
IndexedSCI(E)
Appears in Collections:第一医院

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