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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 2 No. 1 (2011)

Outcome of External and Internal Drainage of Urine after Anderson Hynes Pyeloplasty - A Comparative Study

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2011
CONTENTSVolume 02Number 1January 2011
Editorial
Choledochochal Cyst
Md Mahbub-ul-Alam
03
Original Articles
Study of the Effect of Early Feeding after Gut Resection and Primary Anastomosis: A Prospective Randomised Trial
MN Zaman, MMM Pervez, MAB Akan, AM Shahinoor, M Anisuzzaman, MN Islam
07
Breast Diseases in Children and Adolescents - A Two Year Experience in a Private Hospital of Dhaka
S Islam, AKMA Morshed, SA Ali
12
Histological Analysis of Vascular and Collagen Tissues in the Ventral and Corresponding Dorsal Skin of Mid-Penile Hypospadiac Penis at the Meatal and Coronal Levels: A Comparative Study
MAB Akan, MR Amin, MMR Sibli, AM Shahinoor, M Anisuzzaman, MN Islam, MN Zaman
17
Outcome of External and Internal Drainage of Urine after Anderson Hynes Pyeloplasty - A Comparative Study
AM Shahinoor, MMR Shibli, MAB Akan, M Anisuzzaman, MN Islam, MN Zaman, MTH Siddiqui
22
Short Term Outcome of Urethroplasty for Distal Hypospadias with Interrupted Suture Compared to continuous Suture
MMR Shibli, S Hoque, AM Shahinoor, MAB Akan, S Zabeen
26
To Evaluate the Role of Vascularised Dorsal Dartos Flap in Snodgrass Urethroplasty
M Anisuzzaman, MAB Akan, R Ara, MM Hasan, MN Zaman, MR Amin
31
Miscellaneous
Instructions to Contributors
The Editor
00
Case Reports
Fetus in Fetu: A Case Report & Review of Literatures
MAM Rahman, AA Farooq, MAH Bhuiyan, TK Chowdhury, HMA Rouf
36
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • AM ShahinoorMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University
  • MMR ShibliAssistant Registrar, Department of Surgery, Dhaka Dental College Hospital, Dhaka
  • MAB AkanMedical Officer, Upozila Health Complex, Swarupkati, Pirojpur.
  • M AnisuzzamanRegistrar, Department of Surgery, Holy Family Red Crescent Hospital, Dhaka
  • MN IslamMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University
  • MN ZamanOSD, DG Health
  • MTH SiddiquiAssociate Professor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University

Keywords

Postoperative A-H pyeloplasty Unilateral Hydronephrosis D-J stent

Abstract

Background: Hydronephrosis in children is a common abnormality of the kidney. Surgical intervention in patient with hydronephrosis is to improve urinary drainage and to preserve renal function. Surgery (Anderson Hynes pyeloplasty: A-H pyeloplasty) can be done with or without (Nephrostomy tube) D-J stent. Here we are describing our comparative experience between A-H pyeloplasty with D-J stent and A-H pyeloplasty with nephrostomy tube, at Bangabandhu Sheikh Mujib Medical University (BSMMU) to show the postoperative advantages of the former over the latter. Objectives: To assess functional outcome after A-H pyeloplasty with or without D-J stent in patients of unilateral hydronephrosis. Post operatively renal function was estimated after 3 months by DTPA renogram. Methods: It was a prospective study at Paediatric Surgery department of Bangabandhu Sheikh Mujib Medical University from April 2009 to October 2010. Twenty eight (age, sex, side and type of operation matched) patients of unilateral hydronephrosis were included in the study and divided into two Groups: Group A (nā‚=15) and Group B (n_b=13) patients who underwent A-H pyeloplasty with D-J stent and A-H pyeloplasty with nephrostomy tube respectively. Child with bilateral hydronephrosis, hydronephrosis with associated anomalies like horseshoe kidney, ectopic kidney, solitary kidney, hydronephrosis with vesico ureteric reflux and redopyeloplasty were excluded in this study. Unpaired t test and Chi-square test were used for statistical analysis whereas postoperative hospital stay and renal functional improvement were used as parameters of the study. Results: For study Group A (A-H pyeloplasty with D-J stent) postoperative hospital stay were significantly lesser (P<0.00) than the Group B (A-H pyeloplasty with nephrostomy tube). Post operative split renal function and glomerular filtration rate (GFR) in Group A was improved (percentage) than Group B. Conclusion: This study reveals postoperative shorter hospital stay and improved postoperative split renal function in A-H pyeloplasty with D-J stent.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (1): 22–25

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