Commentary: Ultrasound-based scoring system for indication of pyeloplasty in patients with UPJO-like hydronephrosis
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CitationÖnen, A. (2020). Commentary: Ultrasound-based scoring system for indication of pyeloplasty in patients with UPJO-like hydronephrosis. Frontiers in Pediatrics, 8,1-3.
A recent study has suggested a pyeloplasty prediction score (PPS) using three ultrasound parameters to determine who need surgery and who do not in infants (<3 years old) with ureteropelvic junction obstruction (UPJO)-like hydronephrosis (1). They recommend a combination of SFU grade (A), transverse AP diameter (B) and the absolute percentage difference of ipsilateral and contralateral renal lengths at baseline (C) to predict a criteria for surgical need. This study suggests that any infant UPJO-like hydronephrosis with a PPS of 8 or higher are 8 times more likely to undergo pyeloplasty (1). Unfortunately, none of these parameters is ideal to use due to many disadvantages and/or limitations (2). When we put problematic parameters together it is unlikely to get a correct beneficial result from them.
SourceFrontiers in Pediatrics