ORIGINAL ARTICLE  FUNCTIONAL AND PEDIATRIC UROLOGY Open access

Hellenic Urology 2025 March;37(1):6-10

DOI: 10.23736/S2241-9136.24.00060-4

Copyright © 2024 THE AUTHORS

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lingua: Inglese

The use of a simple ureteral catheter for postoperative drainage in pediatric pyeloplasty: a retrospective single-center study

Angelos SAMARAS ¹, Theodoros SPINOS ¹ ✉, Angelis PETEINARIS ¹, Spyridon POLYZONIS ¹, Achilleas PLOUMIDIS ², Panagiotis PETROPOULOS ², George ZOUPANOS ²

¹ Department of Urology, University of Patras, Patras, Greece; ² Department of Pediatric Urology, Medical Center of Athens, Athens, Greece

BACKGROUND: The aim of this study is to assess the safety and feasibility of ureteral catheters as an alternative postoperative drainage method in pediatric pyeloplasty.
METHODS: A retrospective study was conducted including 69 patients who underwent open pyeloplasty for ureteropelvic junction obstruction (UPJO) between 2010 and 2022. A simple ureteral catheter was used for postoperative drainage. In all cases, Hynes-Anderson open pyeloplasty was performed. An ultrasound evaluation of the renal pelvis was conducted at 2 months, 6 months, 12 months and annually thereafter.
RESULTS: The overall success rate was 94.2%, with four patients (5.8%) experiencing urine leakage, which required the placement of a pigtail catheter under anesthesia. No severe complications occurred. Postoperative imaging showed a significant reduction in the anterior-posterior diameter of the renal pelvis.
CONCLUSIONS: The use of ureteral catheters for postoperative drainage in pediatric pyeloplasty constitutes a safe, feasible and cost-effective approach, offering high success rates with minimal complications.

KEY WORDS: Pediatrics; Urologic surgical procedures; Urinary catheters