URETEROPELVIC JUNCTION SYNDROME IN ADULTS - 108 CASES IN 102 ADULTS

We report 108 cases of ureteropelvic juction obstruction corresponding 54 males and 48 femeles, with a mean age of 33 years. Pain was the co mmonest symptom. Delay in diagnosis was 3 and a half years. The diagno sis was made by IVP allowing our patients to be in different stages : Stage I (12 cases), stage II (39 cases), stage III (25 cases), stage I V (32 cases). We did not operate on 10 patients presenting with allow stage. 61 patients were operated by a conservative procedure : dismemb ered pyeloplasty (58 cases), YV pyeloplasty (3 cases), Nephrectomy was performed in 37 patients (34 %). This high nephrectomy rate was due t o be delayed in diagnosis.