The results of lower polar renal vessel transposition (the Chapman procedure) in the management of hydronephrosis

Over a 15-year period, 19 patients with hydronephrosis due to pelviureteric obstruction associated with lower polar vessels were treated by ureterolysis and transposition of the vessels. Only those patients who, at operation, showed rapid pelvic emptying was not observed, a pyeloplasty was performed...

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Bibliographic Details
Published inBritish journal of urology Vol. 54; no. 2; p. 95
Main Authors Smith, J S, McGeorge, A, Abel, B J, Hutchinson, A G
Format Journal Article
LanguageEnglish
Published England 01.04.1982
Subjects
Adolescent
Adult
Child
Female
Humans
Hydronephrosis - physiopathology
Hydronephrosis - surgery
Kidney Pelvis - physiopathology
Male
Middle Aged
Radioisotope Renography
Renal Circulation
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Summary:Over a 15-year period, 19 patients with hydronephrosis due to pelviureteric obstruction associated with lower polar vessels were treated by ureterolysis and transposition of the vessels. Only those patients who, at operation, showed rapid pelvic emptying was not observed, a pyeloplasty was performed in addition. Complete relief of symptoms occurred in 90% of the patients. Post-operative reduction in the degree of hydronephrosis was demonstrated by intravenous urography in 74% and renal pelvic drainage was judged excellent by diuresis renography in 80%. Diuresis renography allowed the demonstration of free and rapid pelvic drainage in the majority of those patients with persisting hydronephrosis shown by intravenous urography.
ISSN:0007-1331
DOI:10.1111/j.1464-410X.1982.tb13526.x