Koc ZP, Kara AO, Bakal U, Balcı TA, Onur MR and Gurgoze MK
Purpose: We aimed to retrospectively compare the surgical and nonsurgical follow-up results of ureteropelvic junction obstruction without diuretic response.
Methods: Twenty nine pediatric patients (10 Female (F), 19 Male (M); mean: 4.4 ± 3.96 years old, range: 0-15) without diuretic response were subject of this study. The diuretic renography, intravenous pyelography, voiding and ultrasonography were performed within one month and were compared with control ultrasonography and/or diuretic renography results in 7.4 ± 6.7 month follow-up.
Results: Among patients with surgical follow-up 11 (100%) had recovery. In the follow-up group which consist of 18 patients 7 patients (39%) had recovery, 5 had stable disease and 6 had additional pathologies (one ureter dilatation, infection in three, one worsening of diuretic response, one volume loss).
Conclusion: In patients without diuretic response in scintigraphy even without conclusive morphological results, surgery is more appropriate approach.