| ORIGINAL ARTICLE |
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| Year : 2015 | Volume
: 20
| Issue : 1 | Page : 32-36 |
Pyeloplasty for hydronephrosis: Issues of double J stent versus nephrostomy tube as drainage technique
Ravi Kumar Garg1, Prema Menon1, Katragadda Lakshmi Narasimha Rao1, Suman Arora2, Yatindra Kumar Batra2
1 Department of Pediatric Surgery, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India
2 Departments of Anaesthesia and Intensive Care, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India
Correspondence Address:
Prema Menon
Department of Pediatric Surgery, Room No. 3103, Level 3-A, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, Punjab
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.145444
Aims: To compare the efficacy, complications, cost analysis and hospital stay between two methods of drainage of the kidney: double J (DJ) stent versus nephrostomy tube following open pyeloplasty for ureteropelvic junction obstruction hydronephrosis. Patients and Methods: This was a prospective randomized study of 20 patients in each group over 14 months. Pre and post-operative (3 months) function and drainage were assessed by ethylenedicysteine scan and intravenous urogram. Results: Both groups showed similar good improvement in function and drainage. Nephrostomy group had significantly longer hospital stay (P < 0.001) but incurred less cost. Complications with nephrostomy included tube breakage (n = 1) and urine leak after tube removal (n = 2). DJ stents were associated with stent migration (n = 4), increased frequency of micturition (n = 9), dysuria (n = 4) and urinary tract infection (n = 1). Conclusion: Both methods of drainage did not interfere with improvement after pyeloplasty. Minor complications were more with DJ stent (P = 0.0003). Although overall cost of treatment was more with stents, they reduced length of hospital stay. Optimal length of stent is essential to reduce complications secondary to migration and bladder irritation.
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