IS ROUTINE STENTING NECESSARY IN PYELOPLASTY

Although the evaluation of surgical procedures for the repair of urete ropelvic junction obstruction continues, open pyeloplasty is still the gold standard in the management of pediatric cases. The use of stents in open pyeloplasty is subject to discussion among pediatric urologis ts. To clarify this question on the basis of our experience, we retros pectively reviewed our 28 stented and 15 unstented pediatric pyeloplas ty operations in terms of hospital stay, early and late complications, and success rates. While there were no differences between both group s in terms of early and late complications and success rates, hospital stay favored the unstented cases. We have con eluded that routine ste nting in pyeloplasty is not necessary unless a perfect anastomosis is accomplished.