Publication:

Clinical profile of infantile pelviureteric junction obstruction

Background Pelviureteric junction obstruction commonly present with antenatal hydronephrosis. The aim was to report and analyze the clinical spectrum of infantile pelviureteric junction obstruction.

Methods Retrospective descriptive study of infants operated for pelviureteric junction obstruction (PUJO) during 2013- 2016. Clinical presentations, management and follow up were analyzed.

Results There were 44 infants involving 48 PUJO renal units of who were nine girls. The sex distribution was 1:3.8. Mean age of the presentation was three months. PUJO was bilateral in four patients. Two patients had unilateral PUJO of lower moiety of duplex system. Median of anteroposterior diameter (APD) and differential function of kidney on EC was 2.5cms and 28% respectively. Three patients had poorly functioning kidneys (PFK) (<10%).

Conclusions Good antenatal counselling and appropriate postnatal evaluation detects PUJO early. Early infantile pyeloplasty is safe and effective. Routine micturating cystourethrography is debatable in pelviureteric junction obstruction.