Publications by authors named "Esam El Din Salem Morsy"
Objective: We aimed to identify clinical and radiological predictors of the need for surgical intervention in infants with antenatally detected UPJO.
Material And Methods: We prospectively followed infants born with antenatally diagnosed ureteropelvic junction obstruction (UPJO) presented at our outpatient clinics for evidence of obstructive injury with a standard protocol with ultrasonography and renal scintigraphy. Indications for surgery included progression of hydronephrosis on serial examinations, initial differential renal function (DFR) ⩽35% or >5% loss in sequential studies, and febrile urinary tract infection (UTI).
Article Synopsis
- The study evaluated the effectiveness of pyeloplasty in infants with Ureteropelvic Junction Obstruction (UPJO) and low differential renal function (DRF) to determine if normal renal function could be restored post-surgery.
- It involved 173 children, divided into two groups based on pre-surgery DRF: group I (<35% DRF) and group II (35-40% DRF).
- Results showed that while both groups improved in renal anatomy and function after surgery, a significantly higher percentage of patients in group II reached normal DRF levels compared to group I, indicating that severe impairment does not preclude some recovery but rarely restores full function.