Long-term follow-up of patients with hydronephrosis treated by Anderson-Hynes pyeloplasty.

A series of 21 patients with hydronephrosis (mean age 37 years) underwent an Anderson-Hynes pyeloplasty; a nephrostomy catheter was not used routinely. One patient developed urinary leakage post-operatively but this ceased following insertion of a ureteric catheter. Assessment was carried out after a mean observation time of 85 months. Clinical examination, laboratory investigations, urography and renography were performed pre-operatively and at follow-up. There was no evidence of stones or stenosis in the pelvis. Patients operated upon before the age of 30 years showed improved renal function. All patients had symptoms pre-operatively but only one had symptoms post-operatively. It was concluded that the results of surgical intervention in hydronephrosis are excellent, especially in patients aged less than 30 years.

[1]  J. Djurhuus,et al.  The functional outcome of Anderson-Hynes pyeloplasty for hydronephrosis. , 1987, Scandinavian journal of urology and nephrology.

[2]  C. Bratt,et al.  Late results of pyeloplasty for idiopathic hydronephrosis in adults. , 1983, Scandinavian journal of urology and nephrology.

[3]  J. Gosling,et al.  Functional obstruction of the ureter and renal pelvis. A histological and electron microscopic study. , 1978, British journal of urology.

[4]  C. Bratt,et al.  Renal function in patients with hydronephrosis. , 1977, British journal of urology.

[5]  J. Djurhuus,et al.  Dynamics of upper urinary tract in man. Peroperative electrophysiological findings in patients with manifest or suspected hydronephrosis. , 1976, Acta chirurgica Scandinavica. Supplementum.

[6]  K. Tveter,et al.  The value of radioisotope renography in the followup of patients operated upon for hydronephrosis. , 1975, The Journal of urology.

[7]  N. Slade,et al.  Late results in the management of primary pelvic hydronephrosis. , 2008, British journal of urology.

[8]  S. Nilsson,et al.  On the quantitation of radiorenograms. , 1971, Scandinavian journal of clinical and laboratory investigation.

[9]  H. Sunderland.  A review of experiences with the Anderson-Hynes plastic operation for hydronephrosis. , 1963, British journal of urology.

[10]  C. Os.  Choice of operations for ureteropelvic obstructions review of 385 cases. , 1961 .

[11]  G. F. Murnaghan.  EXPERIMENTAL ASPECTS OF HYDRONEPHROSIS1 , 1959 .

[12]  Murnaghan Gf.  The dynamics of the renal pelvis and ureter with reference to congenital hydronephrosis. , 1958 .

[13]  G. F. Murnaghan.  Experimental investigation of the dynamics of the normal and dilated ureter. , 1957, British journal of urology.

[14]  J. C. Anderson,et al.  RETROCAVAL URETER:A Case diagnosed pre‐operatively and treated successfully by a Plastic Operation , 1949 .