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. [
- 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; https://doi.org/10.1016/j.jpurol.2022.07.009
[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]
]. The authors have not done sub group analysis of the age and many who recovered
in <10% group might have been infants.- Babu R.
- Rathish V.R.
- Sai V.
Functional outcomes of early versus delayed pyeloplasty in prenatally diagnosed pelvi-ureteric
junction obstruction.
J Pediatr Urol. 2015; 11https://doi.org/10.1016/j.jpurol.2014.10.007
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References
- Functional recoverability post-pyeloplasty in children with ureteropelvic junction obstruction and poorly functioning kidneys: systematic review.J Pediatr Urol. 2022; https://doi.org/10.1016/j.jpurol.2022.07.009
- Pyeloplasty in children with low differential renal function: functional recoverability.J Pediatr Urol. 2021; 17: 658.e1-658.e9https://doi.org/10.1016/j.jpurol.2021.07.003
- Functional outcomes of pediatric laparoscopic pyeloplasty: post-operative functional recovery is superior in infants compared to older children.Pediatr Surg Int. 2021; 37: 1135-1139https://doi.org/10.1007/s00383-021-04914-1
- Functional outcomes of early versus delayed pyeloplasty in prenatally diagnosed pelvi-ureteric junction obstruction.J Pediatr Urol. 2015; 11https://doi.org/10.1016/j.jpurol.2014.10.007
- Pyeloplasty vs. nephrectomy for ureteropelvic junction obstruction in poorly functioning kidneys (differential renal function <20%): a multicentric study.J Pediatr Urol. 2019; 15: 553.e1-553.e8https://doi.org/10.1016/j.jpurol.2019.05.032
Article info
Publication history
Published online: January 13, 2023
Accepted:
November 25,
2022
Received in revised form:
November 23,
2022
Received:
November 21,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company.
