European Journal of Biomedical and Pharmaceutical Sciences

STUDY OF PELVI-URETERIC JUNCTION OBSTRUCTION WITH SPECIAL REFERENCE TO HISTOPATHOLOGY

Pushpa Ashok Kamble, Mayuri Khobragade Kamble, Ashok Tarachand Kamble, Pratik Abhishek*

ABSTRACT

Introduction: What can be expected from clinical and pathological stand point in a child or an adult who has hydronephrosis due to obstruction or dysfunction at pelvi-ureteric junction was a question and study started in 1935 providing some interesting information regarding the question. Our aim of the present study is to find out what is the primary cause of this effect and whether its early detection can reverse the kidney back to normalcy, if not, prevent the kidney from further damage by institution of suitable surgery and to minimise the complications of surgery. Materials and methods: Total 77 cases are entered into the present series. Study includes 20 cases attending during this tenure and 57 cases were reviewed which were carried out in the past. Selection of the cases were done from the patients attending surgical outdoor to the present unit and referred to this unit directly. Contribution from some of the units was acquired specially for reviewing the histopathology and clinical history of the past. The cases after investigations were subjected to surgery. Depending upon the extent of damage some patients were operated as semiemergencies and some were operated as elective.Type of operation selected to relive obstruction were Anderson Hynes pelviuretroplasty and Foley's V-Y pyeloplasty. Results: Results were analysed in view of age, sex, presentation features, size of hydronephrosis, findings of intravenouspyelogram, kidney function test, etiology, histopathology and complications. Conclusion: The result of early instituion of surgery are rewarding, and recommended in every case.

Keywords: pelvi-ureteric junction, histopathology, hydronephrosis, intravenouspyelogram.