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Does Age Influence the Functional Recovery after Infant Pyeloplasty?
- Source :
-
Journal of Indian Association of Pediatric Surgeons . May/Jun2024, Vol. 29 Issue 3, p219-222. 4p. - Publication Year :
- 2024
-
Abstract
- Purpose: The purpose was to study the correlation between age at surgery and functional recovery after infant pyeloplasty. Materials and Methods: All infants who underwent pyeloplasty were analyzed retrospectively in this multicenter study. Anteroposterior diameter (APD) >2 cm, split renal function (SRF) <40%, and Society of Fetal Urology (SFu) grade 3-4 were surgical indications. Based on the age at pyeloplasty, they were divided into Group 1 (1-3 months) and Group 2 (4-12 months). APD and SRF were compared before and after surgery in both groups. The fractional recoverable function (post-SRF-pre-SRF)/(50-pre-SRF) ><100 was correlated with age. Results: Fifty-one infants underwent pyeloplasty (mean age: 1.6 months - Group 1 and 7.2 months - Group 2). The mean APD decreased from 3 cm to 1.2 cm in Group 1 while 2.8 cm to 2 cm in Group 2 (P = 0.001). The mean SRF increased from 32.28% to 42.81% in Group 1 while 31%-34.18% in Group 2. SRF recovery was significantly higher in Group 1 compared to Group 2 (P = 0.001). Regression analysis showed a weak negative correlation (r = -0.2792) between age at surgery and renal function improvement. Conclusion: Functional recovery after pyeloplasty is better when done earlier (1-3 months), as this gives the growing kidney the best opportunity to recover. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09719261
- Volume :
- 29
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Indian Association of Pediatric Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 178751805
- Full Text :
- https://doi.org/10.4103/jiaps.jiaps_194_23