DOI: 10.36347/sasjs

Pages: 80-87

Obstructive uropathy is the structural impedance to the flow of urine and can occur at any level from uretheral meatus to the calyceal infundibula. This study compared the ultrasound guided percutaneous nephrostomy (PCN) versus the double J (JJ) ureteral stenting in the management of Obstructive Uropathy, Nephropathy and Hydronephrosis.To compare the success rates of JJ stent versus PCN. To assess the conversion rates of JJ versus PCN. To compare recent complications of JJ versus PCN. To compare late complications and failure of JJ versus PCN. To compare Quality of Life (QOL) of patients underwent JJ versus PCN.A prospective analytical (comparative) study done in Ibn-Sina Specialized hospital, Sudan, From December 2014 to September 2015. All patients with a clinical problem of obstructive kidney disease have been involved. Data collected via a designed questionnaire that has been filled in an interview style. The data have been fed to Statistical Package for Social Sciences (SPSS) Inc., Chicago, IL, USA; version 19.0. P = 0.05 with 95% confidence interval. 83 patients have been included in this study, JJ stent was decided for 67 (80.7%) (Group A), where PCN was decided for 16 (19.3%) of patients (Group B). The mean age was 36.1 years in group A, and 39.2 years in group B. Urolithiasis accounts for 71 (85.5%) of the diagnosis, Malignancy 8.4% and benign strictures 6%. Restoration of daily life activities was far better in patients underwent JJ than those underwent PCN by 38.8% to 18.8% respectively. PCN is a safe procedure and has higher success rate than JJ stent to relief sepsis and decompress the kidney,