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Challenging the practice of straightforwardly removing “poorly functioning” kidney with ureteropelvic junction obstruction

  • Tariq O. Abbas
    Correspondence
    Correspondence to: Dr. Tariq Osman Abbas, Pediatric Urology Section, Sidra Medicine, Doha, Qatar
    Affiliations
    Pediatric Urology Section, Sidra Medicine, Doha, Qatar
    College of Medicine, Qatar University, Doha, Qatar
    Weill Cornell Medicine - Qatar, Doha, Qatar
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Published:January 11, 2023DOI:https://doi.org/10.1016/j.jpurol.2022.12.019
      We value the chance to react to our colleagues' thoughtful comments of our article “Functional recoverability post-pyeloplasty in children with ureteropelvic junction obstruction and poorly functioning kidneys: Systematic review” [
      • Abbas T.
      • Elifranji M.
      • Al-Salihi M.
      • Ahmad J.
      • Vallasciani S.
      • Elkadhi A.
      • et al.
      Functional recoverability post-pyeloplasty in children with ureteropelvic junction obstruction and poorly functioning kidneys: systematic review.
      ] as well as their interesting remarks.
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      References

        • Abbas T.
        • Elifranji M.
        • Al-Salihi M.
        • Ahmad J.
        • Vallasciani S.
        • Elkadhi A.
        • et al.
        Functional recoverability post-pyeloplasty in children with ureteropelvic junction obstruction and poorly functioning kidneys: systematic review.
        J Pediatr Urol. 2022 Oct; 18 (Epub 2022 Jul 21. PMID: 35970740): 616-628https://doi.org/10.1016/j.jpurol.2022.07.009
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        Biomed Pharmacother. 2019 Aug; 116 (Epub 2019 May 25. PMID: 31136948; PMCID: PMC7104806)108981https://doi.org/10.1016/j.biopha.2019.108981

      Linked Article

      • Internal drainage (DJ stent) to predict recovery potential of poorly functioning kidney prior to pyeloplasty
        Journal of Pediatric Urology
        • Preview
          We read with interest the article by Abbas et al. [1] on functional recoverability in poorly functioning kidney (PFK) with uretero pelvic junction obstruction (UPJO) following pyeloplasty. The authors have included all units with less than 30% differential renal function (DRF), whereas the actual controversy lies in those with <10% DRF. Sarhan et al. [2] have reported good recovery in units with <20% DRF, however the median age in their study was only 2 years. We have earlier shown that infants demonstrated better functional recovery following pyeloplasty [3,4].
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