Preliminary experience with laparoscopic Foleys YV plasty for ureteropelvic junction obstruction in children

Introduction: Laparoscopic dismembered pyeloplasty is an acceptable option for ureteropelvic junction (UPJ) obstruction in the paediatric population. We compared our results of laparoscopic dismembered and non-dismembered Foleys YV pyeloplasty. Materials and Methods: Children presenting with hydronephrosis secondary to UPJ obstruction formed the study group. Foleys YV plasty was planned whenever it was observed that a tension free dismembered pyeloplasty was not possible in spite of all possible manoeuvres. Children were followed up for urinary infection, and renogram was repeated after 3 months. Results: During the study period, 108 children (63 male and 45 female) with a mean age of 4.94 2.78 years underwent laparoscopic dismembered pyeloplasty and the remaining 11 children (5 male and 6 female) with a mean age of 4.00 1.776 years underwent laparoscopic Foleys YV plasty. There were no major peri-operative complications noted and conversion to open was not necessary in any child. Renogram done at 3 months post-operatively showed good drainage and improvement of renal function. Conclusions: Laparoscopic Foleys YV pyeloplasty is a safe and effective technique in appropriately selected cases of primary UPJ obstruction in children.