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Does hydronephrosis after extravesical ureteral reimplantation deteriorate renal function?
DC Field | Value | Language |
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dc.contributor.author | 이용승 | - |
dc.contributor.author | 임영재 | - |
dc.contributor.author | 정현진 | - |
dc.contributor.author | 한상원 | - |
dc.contributor.author | 홍창희 | - |
dc.date.accessioned | 2014-12-19T17:19:02Z | - |
dc.date.available | 2014-12-19T17:19:02Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0022-5347 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/91184 | - |
dc.description.abstract | PURPOSE: We analyzed whether newly developed or aggravated hydronephrosis deteriorates differential renal function after extravesical ureteral reimplantation. MATERIALS AND METHODS: We performed extravesical ureteral reimplantation in 93 patients with unilateral vesicoureteral reflux between January 2006 and December 2009. Excluding 3 patients with other combined disease, a retrospective cohort analysis of 90 consecutive patients was conducted. We performed ultrasonography before and 1 month after extravesical ureteral reimplantation, and dimercapto-succinic acid scan before and 6 months after extravesical ureteral reimplantation. Of the patients 83 underwent final dimercapto-succinic acid scan at 6 months postoperatively. We analyzed the preoperative studies and perioperative parameters to evaluate the factors affecting newly developed or aggravated hydronephrosis at 1 month, and decrease in differential renal function at 6 months after extravesical ureteral reimplantation. RESULTS: Newly developed or aggravated hydronephrosis was observed in 25 patients (28.4%) 1 month after extravesical ureteral reimplantation. Younger age at surgery was a risk factor (p = 0.003). Of the patients 23 showed improvement on ultrasound 6 months postoperatively. In 12 patients (15.7%) a decrease in differential renal function of more than 5% was observed 6 months postoperatively. Preoperative parenchymal reduction on dimercapto-succinic acid scan was the only significant factor (p = 0.008). There was no correlation between newly developed or aggravated hydronephrosis and final decrease in differential renal function (p >0.999). CONCLUSIONS: Although newly developed or aggravated hydronephrosis after extravesical ureteral reimplantation is common, especially in younger patients, it is transient and does not affect differential renal function. A postoperative decrease in differential renal function without further urinary tract infection could develop when there is a parenchymal reduction on preoperative dimercapto-succinic acid scan. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hydronephrosis/complications* | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Kidney/physiopathology* | - |
dc.subject.MESH | Kidney Diseases/etiology* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Postoperative Complications/etiology* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Ureter/surgery* | - |
dc.subject.MESH | Urologic Surgical Procedures/methods | - |
dc.subject.MESH | Vesico-Ureteral Reflux/surgery* | - |
dc.title | Does hydronephrosis after extravesical ureteral reimplantation deteriorate renal function? | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | Yong Seung Lee | - |
dc.contributor.googleauthor | Young Jae Im | - |
dc.contributor.googleauthor | Hyun Jin Jung | - |
dc.contributor.googleauthor | Yoon Soo Hah | - |
dc.contributor.googleauthor | Chang Hee Hong | - |
dc.contributor.googleauthor | Sang Won Han | - |
dc.identifier.doi | 22177200 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04285 | - |
dc.contributor.localId | A02980 | - |
dc.contributor.localId | A03387 | - |
dc.contributor.localId | A03772 | - |
dc.contributor.localId | A04447 | - |
dc.relation.journalcode | J01921 | - |
dc.identifier.eissn | 1527-3792 | - |
dc.identifier.pmid | 22177200 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0022534711052633 | - |
dc.subject.keyword | ultrasonography | - |
dc.subject.keyword | ureter | - |
dc.subject.keyword | urinary bladder | - |
dc.subject.keyword | vesico-ureteral reflux | - |
dc.contributor.alternativeName | Lee, Yong Seung | - |
dc.contributor.alternativeName | Im, Young Jae | - |
dc.contributor.alternativeName | Jung, Hyun Jin | - |
dc.contributor.alternativeName | Han, Sang Won | - |
dc.contributor.alternativeName | Hong, Chang Hee | - |
dc.contributor.affiliatedAuthor | Han, Sang Won | - |
dc.contributor.affiliatedAuthor | Lee, Yong Seung | - |
dc.contributor.affiliatedAuthor | Im, Young Jae | - |
dc.contributor.affiliatedAuthor | Jung, Hyun Jin | - |
dc.contributor.affiliatedAuthor | Hong, Chang Hee | - |
dc.citation.volume | 187 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 670 | - |
dc.citation.endPage | 675 | - |
dc.identifier.bibliographicCitation | JOURNAL OF UROLOGY, Vol.187(2) : 670-675, 2012 | - |
dc.identifier.rimsid | 33971 | - |
dc.type.rims | ART | - |
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