BACKGROUND Pyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss's procedure at the Zinder National Hospital.. METHODS This was a retrospective study from January 2013 to December 2016 (4 years), including patients who have undergone surgery for PUJS. RESULTS Twelve (12) cases of PUJS had a surgery among which 66.7% were men with an average age of 32.5 ± 7.6 years. The clinical symptomatology was lumbar pain or renal colic in 92.3% of cases. This pain had evolved for more than 2 years for 58.3% of the cases. Ultrasound coupled with intravenous urography or CT-scan was performed to confirm the diagnosis of PUJS in 58.3 and 41.7% of cases. The average serum creatinine level at admission was 181.25 ± 67.3 μmol/L [Lab reference range: 53-97 μmol/L]. The Anderson-Hynes non dismembered pyeloplasty is used for all the patients. The release of a crossing lower pole vessel was performed in 25%, pyelolithotomy in 16.7%. The average surgery time was 118.3 ± 20.7 min. The average hospital length of stay was 10.8 ± 3 days. Immediate postoperative complications were recorded in 33.3% (n = 4). Postoperative outcomes were considered good by disappearance of clinical, biological and radiological signs. CONCLUSION The Anderson-Hynes non dismembered pyeloplasty gives good results and provides a successful alternative in an environment where laparoscopy and robotic surgery are not developed.

中文翻译：

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在资源有限的情况下进行肾盂输尿管连接综合征的手术治疗：尼日尔Zinder国家医院的病例。

背景肾盂输尿管连接综合征（PUJS）是一种常见的先天性畸形。我们报告了根据Zinder国家医院的Anderson-Hyne-Kuss程序通过肾盂成形术进行PUJS的外科治疗。方法该研究为2013年1月至2016年12月（4年）的回顾性研究，包括接受过PUJS手术的患者。结果PUJS手术十二（12）例，其中66.7％为男性，平均年龄为32.5±7.6岁。临床症状为腰痛或肾绞痛，占92.3％。在58.3％的病例中，这种疼痛已经发展了2年多。超声结合静脉输尿管造影或CT扫描证实PUJS的诊断率为58.3％和41.7％。入院时平均血清肌酐水平为181.25±67.3μmol/ L [实验室参考范围：53-97μmol/ L]。所有患者均使用安德森-海恩斯非肢体切除术。交叉下极血管的释放率为25％，肾盂切开术的释放率为16.7％。平均手术时间为118.3±20.7分钟。平均住院时间为10.8±3天。术后立即发生并发症的发生率为33.3％（n = 4）。临床，生物学和放射学征象消失，认为术后预后良好。结论Anderson-Hynes非肢体切除术可带来良好的效果，并在未开发腹腔镜和机器人手术的环境中提供了成功的替代方法。平均手术时间为118.3±20.7分钟。平均住院时间为10.8±3天。术后立即发生并发症的发生率为33.3％（n = 4）。临床，生物学和放射学征象消失，认为术后预后良好。结论Anderson-Hynes非肢体切除术可带来良好的效果，并在未开发腹腔镜和机器人手术的环境中提供了成功的替代方法。平均手术时间为118.3±20.7分钟。平均住院时间为10.8±3天。术后立即发生并发症的发生率为33.3％（n = 4）。临床，生物学和放射学症状消失，认为术后预后良好。结论Anderson-Hynes非肢体切除术可带来良好的效果，并在未开发腹腔镜和机器人手术的环境中提供了成功的替代方法。