Outcomes of open and laparoscopic pyeloplasty in the treatment of primary pelviureteric junction obstruction

Abstract

Background: Pelviureteric junction obstruction causes hydronephrosis and progressive renal impairment if left untreated. Open pyeloplasty is commonly practiced to correct pelviureteric junction obstruction. Laparoscopic pyeloplasty is becoming popular worldwide maintaining acceptable outcome same as open procedure but less morbidity. Aim of the study: This study was aimed to compare the outcomes of laparoscopic versus open pyeloplasty in the treatment of pelviureteric junction obstruction. Methods: This prospective quasi experimental study was conducted in the Department of Urology, Sir Salimullah Medical College Mitford Hospital, Shaheed Suhrawardy Medical College Hospital and Dhaka Central International Medical College Hospital in Dhaka during the period of July, 2018 to December, 2019. Total forty patients were included for the study as per predefined inclusion and exclusion criteria and were allocated into two groups purposively. All the odd numbered cases were allocated into Group - A for open pyeloplasty and the even numbered cases were allocated into Group - B for laparoscopic pyeloplasty. Results: In Group-B (Laparoscopic pyeloplasty) trend of visual analogue scale of pain was significantly shorter than group-A (Open pyeloplasty) at 24 hour and at 72 hours was 3.4±(0.94) and 2.1±(0.21) versus 5.6±(1.13) and 4.9±(1.11) respectively (p