Evidence map›Paper›PMID 31646995›Full record

ArticleBMC surgery2019

Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger.

Harissou Adamou, Ibrahim Amadou Magagi, Maazou Halidou, Hassane Diongolé, Mahamadou Doutchi, Oumarou Habou, Kabirou Ganiou, Amadou Soumana, Rachid Sani

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Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Harissou AdamouGeneral Surgery and Surgical Specialties Department, National Hospital Zinder, Zinder, Niger.
Ibrahim Amadou MagagiGeneral Surgery and Surgical Specialties Department, National Hospital Zinder, Zinder, Niger. imagagi@gmail.com.ORCID http://orcid.org/0000-0002-0345-701X
Maazou HalidouFaculty of Health Sciences, University of Zinder, Zinder, Niger.
Hassane DiongoléFaculty of Health Sciences, University of Zinder, Zinder, Niger.
Mahamadou DoutchiFaculty of Health Sciences, University of Zinder, Zinder, Niger.
Oumarou HabouGeneral Surgery and Surgical Specialties Department, National Hospital Zinder, Zinder, Niger.
Kabirou GaniouMedical Imaging Department, Zinder National Hospital, Zinder, Niger.
Amadou SoumanaUrology Department, National Lamordé Hospital, Faculty of Health Sciences, University of Niamey, Niamey, Niger.
Rachid SaniDepartment of Surgery, National Hospital of Niamey, Faculty of Health Sciences, University of Niamey, Niamey, Niger.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss's procedure at the Zinder National Hospital..

methodsThis was a retrospective study from January 2013 to December 2016 (4 years), including patients who have undergone surgery for PUJS.

resultsTwelve (12) cases of PUJS had a surgery among which 66.7% were men with an average age of 32.5 ± 7.6 years. The clinical symptomatology was lumbar pain or renal colic in 92.3% of cases. This pain had evolved for more than 2 years for 58.3% of the cases. Ultrasound coupled with intravenous urography or CT-scan was performed to confirm the diagnosis of PUJS in 58.3 and 41.7% of cases. The average serum creatinine level at admission was 181.25 ± 67.3 μmol/L [Lab reference range: 53-97 μmol/L]. The Anderson-Hynes non dismembered pyeloplasty is used for all the patients. The release of a crossing lower pole vessel was performed in 25%, pyelolithotomy in 16.7%. The average surgery time was 118.3 ± 20.7 min. The average hospital length of stay was 10.8 ± 3 days. Immediate postoperative complications were recorded in 33.3% (n = 4). Postoperative outcomes were considered good by disappearance of clinical, biological and radiological signs.

conclusionThe Anderson-Hynes non dismembered pyeloplasty gives good results and provides a successful alternative in an environment where laparoscopy and robotic surgery are not developed.

Indexed as

AdultFemaleHumansKidneyMaleMiddle AgedNigerOperative TimePlastic Surgery ProceduresPostoperative ComplicationsRetrospective StudiesSyndromeTomography, X-Ray ComputedUreteral ObstructionUrologic Surgical ProceduresYoung AdultOpen surgeryPyeloplastyPyelo-ureteral junction

Identifiers

PMID31646995
PMCPMC6813106

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