Abstract

Open pyeloplasty has been the gold standard for surgical treatment of ureteropelvic junction (UPJ) obstruction. However, with the advent of minimally invasive procedures, which provide a better cosmetic effect, shorter duration of hospital stay, and faster resuming of social life, many such procedures were developed, amongst which laparoscopic pyeloplasty has shown promising results similar to open pyeloplasty. Materials and methods: A total of 56 patients with UPJO who were admitted for surgery in the Department of Urology, NIMS, Hyderabad were selected with their consent, after they fulfilled inclusion criteria. 28 patients were operated via open pyeloplasty and 28 patients via laparoscopic pyeloplasty. Results: The demographic data, operated side, and pre-operative parameters were similar in both groups. However, the post-operative VAS score and duration of hospital stay were lower in the laparoscopic group than in the open group. Conclusion: Laparoscopic and Open pyeloplasty are equally effective in treating PUJO, with comparable patient-reported outcomes. Laparoscopic pyeloplasty is preferable to open pyeloplasty, due to better cosmetic effect, decreased postoperative pain and morbidity, and decreased hospital stay with early recovery. However, it requires an experienced surgeon with technical expertise.

Description

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