PTU - Polskie Towarzystwo Urologiczne
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Retroperitoneoscopic dismembered pyeloplasty in the prone position in children
Article published in Urologia Polska 2003/56/2.


Wiesław Urbanowicz 1, Michał Wojnicki 1, Maciej Kowalczyk 2
1 Klinika Urologii Dziecięcej Collegium Medicum Uniwersytetu Jagiellońskiego
Kierownik kliniki: dr hab. Wiesław Urbanowicz
2 Samodzielna Pracownia Scyntygrafii Klinicznej Uniwersyteckiego Szpitala Dziecięcego w Krakowie
Kierownik pracowni: dr hab. Maciej Kowalczyk


children, hydronephrosis, retroperitoncoscopy, dismembered pyeloplasty


Objective. The most common cause of hydronephrosis in children is a pyelo-ureteric obstruction. The objective of the paper is the presentation of the experience in employing a videoscopic retroperitoneal approach with a patient in Ihe prone position.
Material and method. In the years 2001-2002, six children with pyelo-ureleric stenosis were treated at Deparlament of Pediatric Urology, Collegium Medicum. Jagiellonian University. Cracow. AH the patients have been followed-up postoperatively for over 6 months. In one patient a conversion to a classic procedure was necessitated by a segmental ureteral involving an over 5-cm long segment.
Results. The preliminary assessment of the outcome is promising. All the live patients subjected to a videoendoscopic reconstruction of the pyelo-ureleric junction have demonstrated improved emptying of the pyelocalyceal system.
Conclusions. The results are good and low-invasive techniques are more and more commonly and extensively employed in the treatment of congenital defects in children.


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Wiesław Urbanowicz
Klimka Urologii Dziecięcej
Uniwersytecki Szpital Dziecięcy
ul. Wielicka 265
30-663 Kraków