{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/41069"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/41069","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience","abstract":"Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, encrustation, migration, breakage, and increased cost of surgery to remove the stent. Therefore, recently stentless pyeloplasty has been advocated as a feasible alternative. This study aimed to evaluate the outcome of stentless dismembered pyeloplasty for congenital ureteroplevic junction obstruction. Methods We retrospectively reviewed the data of paediatric patients who underwent dismembered pyeloplasty due to congenital ureteropelvic junction obstruction (UPJO) between January 2008 and July 2022. Patients' demographics, indications for surgery, follow up data and complications were recorded on data extraction sheet. The success rate was defined as lack of need for intervention or reoperation postoperatively. This","abstract_html":"Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, encrustation, migration, breakage, and increased cost of surgery to remove the stent. Therefore, recently stentless pyeloplasty has been advocated as a feasible alternative. This study aimed to evaluate the outcome of stentless dismembered pyeloplasty for congenital ureteroplevic junction obstruction. Methods We retrospectively reviewed the data of paediatric patients who underwent dismembered pyeloplasty due to congenital ureteropelvic junction obstruction (UPJO) between January 2008 and July 2022. Patients' demographics, indications for surgery, follow up data and complications were recorded on data extraction sheet. The success rate was defined as lack of need for intervention or reoperation postoperatively. This","abstract_has_math":false,"creators":["Mbwambo, Orgeness Jasper"],"institution":"Division of General Surgery","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Lazarus, John"],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024","date_published":"2024","updated_at":"2026-07-22T22:23:14Z","subjects":["Medicine"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/41069","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Lazarus, John"]},{"key":"dc:creator","label":"Author","values":["Mbwambo, Orgeness Jasper"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-03-03T08:49:03Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-03-03T08:49:03Z"]},{"key":"dc:date.issued","label":"Date","values":["2024"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Division of General Surgery"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Cape Town"]},{"key":"dc:type","label":"Dc Type","values":["Thesis / Dissertation"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters","MSc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Medicine"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/41069"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, encrustation, migration, breakage, and increased cost of surgery to remove the stent. Therefore, recently stentless pyeloplasty has been advocated as a feasible alternative. This study aimed to evaluate the outcome of stentless dismembered pyeloplasty for congenital ureteroplevic junction obstruction. Methods We retrospectively reviewed the data of paediatric patients who underwent dismembered pyeloplasty due to congenital ureteropelvic junction obstruction (UPJO) between January 2008 and July 2022. Patients' demographics, indications for surgery, follow up data and complications were recorded on data extraction sheet. The success rate was defined as lack of need for intervention or reoperation postoperatively. This"]},{"key":"dc:title","label":"Title","values":["Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience"]}]}],"canonical_facts":{"dc:contributor.advisor":["Lazarus, John"],"dc:creator":["Mbwambo, Orgeness Jasper"],"dc:date.accessioned":["2025-03-03T08:49:03Z"],"dc:date.available":["2025-03-03T08:49:03Z"],"dc:date.issued":["2024"],"dc:description.abstract":["Introduction Stenting after pyeloplasty is a traditional operative practice with the aim of ensuring a patent anastomosis and preventing complications such as urinary leakage, dehiscence and reducing risk of stricture formation. However, it has the disadvantage of complications such as infection, encrustation, migration, breakage, and increased cost of surgery to remove the stent. Therefore, recently stentless pyeloplasty has been advocated as a feasible alternative. This study aimed to evaluate the outcome of stentless dismembered pyeloplasty for congenital ureteroplevic junction obstruction. Methods We retrospectively reviewed the data of paediatric patients who underwent dismembered pyeloplasty due to congenital ureteropelvic junction obstruction (UPJO) between January 2008 and July 2022. Patients' demographics, indications for surgery, follow up data and complications were recorded on data extraction sheet. The success rate was defined as lack of need for intervention or reoperation postoperatively. This"],"dc:identifier.uri":["http://hdl.handle.net/11427/41069"],"dc:language.iso":["en"],"dc:publisher.department":["Division of General Surgery"],"dc:publisher.institution":["University of Cape Town"],"dc:subject":["Medicine"],"dc:title":["Stentless pyeloplasty for paediatric uretero-pelvic junction obstruction: a 15- year experience"],"dc:type":["Thesis / Dissertation"],"dc:type.qualificationlevel":["Masters","MSc"]},"updated_at":"2026-07-22T22:23:14Z"}