학술논문

Sex differences in children operated with pyeloplasty for pelvoureteric junction obstruction
Document Type
Source
Pediatric Surgery International. 39:1-8
Subject
Humans
Child
Female
Male
Pregnancy
Sex Characteristics
Retrospective Studies
Kidney
Hydronephrosis/surgery
Pain
Medicin och hälsovetenskap
Klinisk medicin
Pediatrik
Medical and Health Sciences
Clinical Medicine
Pediatrics
Language
English
ISSN
1437-9813
Abstract
PURPOSE: Pelvoureteric junction obstruction (UPJO) is a common cause of hydronephrosis in children but no previous studies have evaluated differences between boys and girls operated with pyeloplasty. This study aimed to evaluate potential differences between sexes in children operated with pyeloplasty for PUJO in terms of presentation, surgery, and long-term results.METHODS: Data was retrospectively collected from all children operated on with pyeloplasty between January 2002 and December 2020. Data contained several variables covering presentation, surgery, and long-term results.RESULTS: In total, 194 patients were included of which 126 (64.9%) were boys. There were no significant differences in prenatal findings, pelvic dilation on ultrasound, function of the affected kidney, surgical method, obstruction type, resolution of hydronephrosis, or improvement of function. Boys presented with pain more often than girls (47.4 vs 25.0%, p < 0.01) while girls were more prone to infections preoperatively (17.2 vs 7.0%, p = 0.04). All nine patients requiring reoperation were boys (p = 0.03).CONCLUSION: Girls with UPJO seem to experience infections as presenting symptoms more often than boys, while boys significantly more often present with pain. There is also a higher percentage of boys needing reoperation.