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
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.
How to cite this article:
Garg RK, Menon P, Rao KL, Arora S, Batra YK. Pyeloplasty for hydronephrosis: Issues of double J stent versus nephrostomy tube as drainage technique
.J Indian Assoc Pediatr Surg 2015;20:32-36
|
How to cite this URL:
Garg RK, Menon P, Rao KL, Arora S, Batra YK. Pyeloplasty for hydronephrosis: Issues of double J stent versus nephrostomy tube as drainage technique
. J Indian Assoc Pediatr Surg [serial online] 2015 [cited 2023 Dec 2 ];20:32-36
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2015;volume=20;issue=1;spage=32;epage=36;aulast=Garg;type=0 |
|
|
|
