Functional, morphological and operative outcome after pyeloplasty in adult patients: Laparoscopic versus open.
OBJECTIVE
The aim of this study is determine and compare improvement of hydronephrosis, renal function, and operative outcome between laparoscopıc and open pyeloplasty in adults.


MATERIAL AND METHODS
Sixty-five adult patients with primary ureteropelvic junction obstruction (UPJO) underwent pyeloplasty between January 2014 and September 2020. Thirty-four patients had laparoscopıc pyeloplasty (LP), 31 patients had open pyeloplasty (OP). In this retrospective study demographics, differential renal function (DRF), hydronephrosis, anteroposterior diameter of pelvis renalis (APD) and operative outcomes: operation time, blood loss, complications, hospital stay, etiology, analgesic requirement, complications, and success rates were compared between two groups.


RESULTS
Improvement of APD is higher in OP group (p: 0.001). Improvement of DRF (p: 0.713) and hydronephrosis (p = 1.000), success (p: 0.407) and complication rate (p: 0.661) are comparable between two groups. Median hospital stay, postoperative analgesia requirement and blood loss was less in LP group, mean operative time was shorter in OP group (p: 0.001).


CONCLUSION
Pain complaints are greatly reduced after pyeloplasty in adult patients but the drainage of kidney, DRF and hydronephrosis does not improve as much as desired. Improvement of APD is better and median operative time is less in OP, intraoperative blood loss, hospital stay, and analgesic requirement is less in LP group in our study.
['Merder|Erkan|E|https://orcid.org/0000-0002-6325-3297', 'Arıman|Ahmet|A|https://orcid.org/0000-0001-9400-2856', 'Sabuncu|Kenan|K|', 'Altunrende|Fatih|F|']
D000328:Adult D006801:Humans D007668:Kidney D007682:Kidney Pelvis D010535:Laparoscopy D061646:Operative Time D012189:Retrospective Studies D016896:Treatment Outcome D014517:Ureteral Obstruction D013520:Urologic Surgical Procedures
Pyeloplasty hydronephrosis renal function open pyeloplasty laparoscopy