TITLE:
Management and Outcome of Ureteropelvic Junction Obstruction in Senegalese Children
AUTHORS:
Ibrahima Bocar Wellé, Ndeye Aby Ndoye, Papa Alassane Mbaye, Doudou Gueye, Ndeye Fatou Seck, Faty Balla Lo, Lissoune Cissé, Anderson Safari Kibanja, Florent Tshibwid A. Zeng, Youssouph Diedhiou, Aloïse Sagna, Oumar Ndour, Gabriel Ngom
KEYWORDS:
Ureteropelvic Junction Obstruction, Management, Outcome, Children, Senegal
JOURNAL NAME:
Open Journal of Urology,
Vol.12 No.11,
November
18,
2022
ABSTRACT: Introduction: The ureteropelvic junction obstruction is a rare congenital malformation of the upper urinary tract. We report its management and outcome at Senegal’s main pediatric surgical department. Patients and Methods: We conducted a descriptive review of all patients managed in our pediatric surgical department at Albert Royer National Children’s Hospital Centre from January 1st, 2013 to December 31st, 2017. Results: Thirty patients were included in our study. The mean age was three years. Males were more affected (sex ratio of 2.75). The prenatal diagnosis was made in 23% of cases using prenatal ultrasonography. An abdominal mass was the circumstance of discovery in 36% of cases, and lumbar contact and renal sloshing were found in 66% of cases. There was no renal function impairment in 93% of cases. Urinary tract infection occurred in 50% of cases. Ultrasonography (100%) and urinary computed tomography (56%) were used to diagnose. A temporary nephrostomy was performed in 23% of cases, and as definitive treatment, an open Anderson-Hynes procedure was performed in 96% as a nephrectomy was made in a patient. Early postoperative complications were encountered in 56% of cases: urinary tract infection (36%), surgical site infection and anastomotic stenosis (6% both), and urinoma and textiloma (both in 3%). A patient died from sepsis. After a mean follow-up of 12 months, no additional complication was reported. Conclusion: Ureteropelvic junction obstruction was frequently diagnosed late, and its management carried unneglectable morbidity in our environment. A laparoscopic approach would be a solution to improve its outcome.