<![CDATA[Introduction: There are several forms of successful treatment and prevention for obstruction of thepyelourethral segment in pediatric patients. However, each method has its advantages and disadvantages.Namely, some those widespread surgical techniques frequently associate with different complications andsubsequent financial deprivations. Therefore, the optimal method of external trans-anastomotic drainageis still disputable. In this study, we studied the results of pyeloplasty in children using a transanastomoticcatheter.Method: In this observational study, which was conducted from 2013 to 2018, we evaluated the outcomesof pyeloplasty in 132 childrenunder 3 years old. For all patients a trans-anastomotic catheter for urinaryevacuation was used during the postoperative period. The observation period ranged from 6 months to 3years (an average of 22±6,8 months). Antegrade pyelography was performed in 119 patients on the 6th dayof postoperative period. The average hospital stay was 8.4 days (ranging from 6 to 16 days), most of thepatients were discharged from hospital 7 days after surgery.Results: 137 pyeloplasty was performed on 132 patients using a transanastomotic catheter. The observationlasted from 6 months to 3 years. Antegrade pyelography was performed in 119 patients on the 6th day aftersurgery. Of those 119 pyelograms taken, 108 (91 percent) showed adequate drainage after pyeloplasty. In 11patients, partial obstruction was revealed, while in 8 (73 percent) children the possibility of the anastomosisreturned to normal on its own about within 12 days. The transanastomotic catheter was removed on average7-8 days after surgery. The average hospital stay was 8.4 days.Conclusion: Urine evacuation with transanastomotic catheter after pyeloplasty in pediatric patients ishighly effective and safe. Other comprehensive studies may be required to prove the further upsides of thistechnique.]]>
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