In hydronephrosis from pelvi-ureteric junction (PUJ) obstruction (idiopathic or congenital hydronephrosis), which of the following statements are false?
Correct Answer: If there is more than 5 per cent of function in the obstructed kidney, a procedure to preserve the kidney is carried out
Description: Isotope renography is the best test to establish that dilatation is caused by obstruction. It would also determine the percentage function of the kidney. A procedure to preserve the kidney is carried out when a renogram shows that there is more than 20 per cent of renal function. The operation of choice is Anderson-Hynes pyeloplasty, a procedure which is now being carried out laparoscopically.
Category:
Surgery
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