Feasibility and safety of pyeloplasty as day care surgery in pediatric patients: Initial experience.

Abstract

Objective: To share experience feasibility and safety of pyeloplasty as day care procedure in pediatric patients. Study Design: Prospective Quasi Experimental study. Setting: Department of Urology, Saidu Teaching Hospital, Swat. Period: 1^st July 2018 to 31^st March 2020. Material & Methods: Pediatric patients presented with complaints of pelviureteric junction obstruction (PUJO) were carefully selected for day care pyeloplasty. They were electively admitted on the same day and operated in the morning hours and discharged after check by the operating surgeon if they fulfill criteria for day care surgery. Results: A total of 82 patients were planned for pyeloplasty 86.16% patients selected for day care surgery and discharged within 12 hours while 13% patients were admitted for 24 hour or more. Among day care patients 4.2% were readmitted for social reasons, 2.8 % patients had fever and admitted to in patient facility for intravenous antibiotics. 1.4% patients readmitted for gross hematuria and managed conservatively , 4.2% patient were complaining of pain and adjusted pain medication on outpatient basis and 4.2% patients had telephonic contact for stent symptoms and were reassured. Conclusion: Day care pyeloplasty is safe and cost effective procedure in careful selected pediatric patients who were complaining of symptoms due to PUJO.