Journal of AdvancedMedical and Dental Sciences Research

Background:Open pyeloplasty is a surgical procedure performed to correct a blockage or narrowing (stenosis) at the junction where the renal pelvis meets the ureter, known as the ureteropelvic junction (UPJ).The present study was conducted to evaluate comparison of laparoscopic and open pyeloplasty cases. Materials & Methods:56 cases of pyeloplastyof both genderswere divided into 2 groups of 28 each. Group I underwent open pyeloplastyand group II underwent laparoscopic pyeloplasty. Perioperative parameters Such as operative time, analgesic use, hospital stay, and complication and success rates were compared. Results: Group I had 18 males and 10 females and group II had 12 males and 16 females. The mean operative time was 125.3 minutes in group I and 236.8 minutes in group II. Analgesic requirement was 612.4 mg in group I and 128.4 mg in group II. The mean duration of analgesic was 3.7 days in group I and 1.6 days in group II. The mean hospital stay was 7.5 days in group I and 3.1 days in group II. The difference was significant (P< 0.05). The success rate was 93% in group I and 98% in group II. The difference was significant (P< 0.05). Conclusion: Laparoscopic pyeloplasty has a minimal level of morbidity,short hospital stay, better cosmesis compared to openpyeloplasty.