Clinical Observation on the Ureteropelvic Junction Obstruction.
- Author:
Soung Sik KIM
1
;
Byung Kap MIN
Author Information
1. Department of Uroligy, Chonnam University Medical School, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
ureteropelvic junction obstruction
- MeSH:
Edema;
Female;
Flank Pain;
Hematuria;
Humans;
Hydronephrosis;
Jeollanam-do;
Kidney;
Male;
Nephrectomy;
Pyuria;
Urography;
Urology
- From:Korean Journal of Urology
1982;23(5):597-602
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical Observation was made on the 27 cases of UPJ obstruction of the in-patients in the Department of Urology, Chonnam University Hospital during the period from Sept. 1967 to 1981 and the followings were obtained. 1) The rate of UPJ obstruction accounted for 1.1% of the total in-patients and 21.7% of the total patients with hydronephrosis during the period of 14 years. 2) It is noteworthy that the condition was much more common in the male than the female subject (19 and 8, respectively) and occurred more frequently on the left side (18 and 5, respectively). Bilateral disease was present in 4 cases. 3) The pathological lesions or findings encountered at the UPJ were intrinsic UPJ obstruction in 20 kidneys (64.5%), aberrant vessel in 5 kidneys,. fibrous bands in 3 kidneys, kinks and fibrous bands in 1 kidney and unknown causes in 2 kidneys. 4) The most common presenting symptom was flank pain, affecting 17 cases. Palpable mass was found in 13 cases. Hematuria occurred in 4 cases. Edema was present in 1 case. 5) The degree of hydronephrosis was determined by urography, pathological and operative finding and according to these findings, grade 4 was found in 45.2%, grade 5 in 25.7%, grade 3 in 22.6%, grade 2 in 6.5% of the total kidneys. 6) On laboratory examination, microscopic pyuria was found in 7 cases, microscopic .hematuria in 7 cases, microscopic pyuria and hematuria in 2 cases and BUN was increased in 4 cases. 7) Pyeloplasty was performed in 17 kidneys, primary nephrectomy in 11 kidneys, nephrostomy in 2 kidneys and ureterolysis with nephropexy in 1 kidney.
