Introduction: The purpose of this study was to assess our experience in the surgical management of UPJO.
Method and Method: This was a descriptive retrospective study conducted in our department between January 2020 and March 2022. The diagnosis of UPJO was based on ultrasound and CT scan founding. The main reasons for consultation are: Abdomino-lumbar pain and renal colic. Seventeen patients were operated including 12 pyeloplasty according to Anderson-Hynes and 5 nephrectomy.
Results: A total of 18 UPJO cases were admitted. Average age: 21.40 ±11.60 (0.30-37 years). Average duration of intervention: 65.88 ±7.54 (55-75mn). No complications were reported during these procedures and 2 cases of lower polar vessels were detected. The immediate and short-term surgical follow-up was favourable. They were swaddled with retroperitoneal urinoma in one patient and parietal suppuration in another. The result of pyeloplasty according to Anderson Hynes was considered satisfactory overall.
Conclusions: Pyeloplasty according to Anderson Hynes remains the reference technique in our socio-economic context. This is because of its simplicity and efficiency; but also the possibility of help it offers in the confirmation of the etiological diagnosis and in the management of complications.
Keywords: Pyeloreteral junction syndrome, pyeloplasty, malformation, nephrectomy