Objective: To study the pyeloureteral junction syndrome in the urology department of the UHC (University Hospital Center) of Cocody. Methodology: This is a retrospective, analytical study, covering a period of twenty-two years (January 2001 to December 2023) of patients with pyeloureteral junction syndrome in the department. Only confirmed cases were included. Results: We collected 15 cases in 22 years, giving an annual average of 0.7 cases. The average age was 31.5 years, ranging from 20 to 60 years. The M/F sex ratio was 1.5. The diagnosis was postnatal in all our patients. Lumbar and/or abdominal pain was noted in 11 patients (73.3%). Provoked lumbar and/or abdominal pain, lumbar and/or abdominal mass were the most common physical signs (93.3%). The involvement was right in 9 cases (60%) and bilateral in one patient (6.7%). Uroscan was performed in all our patients and confirmed the diagnosis. Renal function was normal in 93.33% of cases. Urine culture was performed in 13 of our patients (86.67%) and returned sterile in 60% of cases. Nephrectomy was performed in 10 patients (66.7%), pyeloplasty in 5 patients (33.3%). Conclusion: Uroscanner is the reference examination, having been performed in all patients, it allowed us to confirm the diagnosis. The management in our series was dominated by nephrectomy which reflects the late diagnosis and management.
| Published in | International Journal of Clinical Urology (Volume 9, Issue 2) | 
| DOI | 10.11648/j.ijcu.20250902.21 | 
| Page(s) | 170-179 | 
| Creative Commons | 
 This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. | 
| Copyright | Copyright © The Author(s), 2025. Published by Science Publishing Group | 
Ureteropelvic Junction Syndrome, Postnatal Diagnosis, Uroscanner, Pyeloplasty
| [1] | Mouh M. Pyelo -ureteral junction syndrome in children (about 26 cases): (Med thesis). Fez: University of SIDI MOHAMEMED BEN ABDELLAH Faculty of Medicine and Pharmacy of FES; 2010, No. 028. | 
| [2] | Rim H. Management of pyelo -ureteral junction syndrome by inferior polar pedicle: (Med thesis). Marrakech: Faculty of Medicine and Pharmacy; 2023, No. 094. | 
| [3] | Brisset JM, Olivier C. Operative tactics in hydronephrosis. EMC (Paris) 41085, 40 0 3. | 
| [4] | Cormier L, Lefevre F, Gaucher O, Mourey E, Mangin P. Anomaly of the pyelo -ureteral junction and hydronephrosis in adults. EMC (Elsever; Paris) NephrologyUrology. 1999; p. 18-150. | 
| [5] | Gelet A, Combe M, Cuzin B. Adult hydronephrosis: Anatomical lesions, surgical techniques and therapeutic strategies. Lyon Oct. 1996; p. 87-111. | 
| [6] | Viville C, Pezrahid P. Acute reversible obstructions in a known and well-tolerated syndrome of the pyelo -ureteral junction. Prog. Uro. 1991, 1: 1006-1011. | 
| [7] | Hashim H, Woodhouse CR. Obstruction of the ureteropelvic Junction. Uro, Tunis, 2012; 13: 2. | 
| [8] | Schwartz J, Schmidlin F, Iselin C. Pyelo -ureteral junction disease: Diagnosis and treatment. Medicine and Hygiene. No. 2507. November 1, 2004. Vol. (No. 62), pp. 2417-2441. Available at: | 
| [9] | Nouira F, Oueld Y, Shaier M, Jlidi S, Chaouachi B. Anomaly of the pyelloureteral Junction of antenatal diagnosis: Surgical or Medical treatment? journal of pediatrics an Child care, 2011; 4: 229-235. | 
| [10] | Darhour S. Pyelo -ureteral junction syndrome in children about 16 cases: (Med thesis). Dakar: CHEICK ANTA DIOP University; 2016, No. 147. | 
| [11] | Jaidane M. Anomaly of the pyelo -ureteral junction in 219 cases: (Med thesis). University of the center: Faculty of Switzerland. 2000; 45: 5-11. | 
| [12] | Assande AG. Epidemiological, clinical and therapeutic aspects of pyeloureteral junction anomalies: (Med. thesis). Abidjan: FELIX HOUPHOUET BOIGNY University-Faculty of Medical Sciences of Abidjan; 2024. | 
| [13] | Coulibaly MT, Diallo MS, Kassogue A, Diarra A, Cisse D, Berthe HJG et al. Surgical indication in pyelo -ureteral junction syndrome in the urology department of the GABRIEL TOURE University Hospital in Mali (Annals of Marien Ngouabi University). Vol (n 20), N 1-2; 2020. | 
| [14] | Abdoulaye D. Adult pyelo -ureteral junction syndrome: 28 cases: (Med. thesis). Dakar: CHEICK ANTA DIOP University; 2001, No. 31. | 
| [15] | Albqami N, Janetschek G. Laparoscopic pyeloplasty. EMC-Surgical techniques-Urology 2008: 1-4 (Article 41-087-B). | 
| [16] | Ferhi K, Ouessedik K, Cappele O, Miaadi N, Goulet E, Grise P. Pyeloplasty: parietal benefit of lomboscopy. Prog Urol 2005; 15(2): 221-225. | 
| [17] | Sayad LA, Sayad MO. Pyelo -ureteral junction syndrome in the child (about 40 cases): (Medical thesis). Marrakech: Faculty of Medicine and Pharmacy; 2010. | 
| [18] | Harissou A, Ibrahim AM, Maazou H, Hassane D, Mahamadou D, Oumarou H, et al. 2019. Surgical management of pyelo -ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger. BMCSurg. 19, 1 (December 2019), 150. | 
| [19] | Diarra A. Pyelo -ureteral Junction Syndrome in the Urology Department of Point-G Hospital (Medical Thesis). Bamako: University of Bamako; 2006. | 
| [20] | Lopez M, Guye E, François M, Varlet F. SFCP-017-Urology: Laparoscopic treatment of the pyeloureteral junction in children. Archives of Pediatrics 2008; 15: 892. | 
| [21] | Galifer RB, Veyrac C, Faurous P. Congenital anomalies of the pyelo -ureteral junction in children. Multicenter study of 985 observations in 883 children. Ann Urol (Paris) 1987; 21(4): 241-9. | 
| [22] | Kone A. Ureteropelvic junction syndrome in the urology department of the BBS University Hospital of Kati. (Med. thesis). University of Technical Sciences and Technology of Bamako; 2023. | 
| [23] | Notarantonio M, Dufour B. JPU Syndrome Diagnosis. Rev Prat Paris 1994; 44: 3, Nephrology-Urology, p 411-3. | 
| [24] | Tsai JD, Huang FY Lin, CC, Tsai TC, Lee HC, Sheu JC and Chang PY. Intermittent Hydronephrosis Secondary to Ureteropelvic Junction Obstruction: Clinical and Imaging Features. Pediatrics 2006; 117; 139-46. | 
| [25] | Tembely A. Kassogue A, Berthe H, Ouattara Z. Clinical and therapeutic aspects of pyeloureteral junction anomalies at the G-spot University Hospital. Pan Afr Med J 2016; 23: 256. | 
| [26] | Buisson P, Ricard J, Boudailliez B, Anarelli JP. Evolution of the management of pyelo -ureteral junction syndrome. Arch Pediatr 2003; 10(3): 215-20. | 
| [27] | Tortora GF, Grabowsk. Development of the urinary system principle of anatomy and physiology. Edition 1993, by biological sciences text books, inc. p. 958. | 
| [28] | Guys JM et al. Ureteropelvic junction obstruction: Prenatal diagnosis and neonatal surgery in 47 cases. J. pediatrs surg 1999, 23, 156-8. | 
| [29] | Danjou P, Leroy J, Brunet P, Lemaitre L. Congenital ureteral junction syndrome in adults treated by coeliosurgery. Prog. Urol. 1995, 5: 94650. | 
APA Style
Kouame, B., Kramo, F. N., Coulibaly, I., Drabo, A., Armand, T. K. W. (2025). Epidemio-clinical and Therapeutic Aspects of the Pyeloureteral Junction Syndrome in the Urology Department of the Cocody Chu from 2001 to 2023. International Journal of Clinical Urology, 9(2), 170-179. https://doi.org/10.11648/j.ijcu.20250902.21
ACS Style
Kouame, B.; Kramo, F. N.; Coulibaly, I.; Drabo, A.; Armand, T. K. W. Epidemio-clinical and Therapeutic Aspects of the Pyeloureteral Junction Syndrome in the Urology Department of the Cocody Chu from 2001 to 2023. Int. J. Clin. Urol. 2025, 9(2), 170-179. doi: 10.11648/j.ijcu.20250902.21
@article{10.11648/j.ijcu.20250902.21,
  author = {Benjamin Kouame and Felicite Nykan Kramo and Issoufou Coulibaly and Ali Drabo and Tano Kouamé William Armand},
  title = {Epidemio-clinical and Therapeutic Aspects of the Pyeloureteral Junction Syndrome in the Urology Department of the Cocody Chu from 2001 to 2023
},
  journal = {International Journal of Clinical Urology},
  volume = {9},
  number = {2},
  pages = {170-179},
  doi = {10.11648/j.ijcu.20250902.21},
  url = {https://doi.org/10.11648/j.ijcu.20250902.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.21},
  abstract = {Objective: To study the pyeloureteral junction syndrome in the urology department of the UHC (University Hospital Center) of Cocody. Methodology: This is a retrospective, analytical study, covering a period of twenty-two years (January 2001 to December 2023) of patients with pyeloureteral junction syndrome in the department. Only confirmed cases were included. Results: We collected 15 cases in 22 years, giving an annual average of 0.7 cases. The average age was 31.5 years, ranging from 20 to 60 years. The M/F sex ratio was 1.5. The diagnosis was postnatal in all our patients. Lumbar and/or abdominal pain was noted in 11 patients (73.3%). Provoked lumbar and/or abdominal pain, lumbar and/or abdominal mass were the most common physical signs (93.3%). The involvement was right in 9 cases (60%) and bilateral in one patient (6.7%). Uroscan was performed in all our patients and confirmed the diagnosis. Renal function was normal in 93.33% of cases. Urine culture was performed in 13 of our patients (86.67%) and returned sterile in 60% of cases. Nephrectomy was performed in 10 patients (66.7%), pyeloplasty in 5 patients (33.3%). Conclusion: Uroscanner is the reference examination, having been performed in all patients, it allowed us to confirm the diagnosis. The management in our series was dominated by nephrectomy which reflects the late diagnosis and management.
},
 year = {2025}
}
											
										TY - JOUR T1 - Epidemio-clinical and Therapeutic Aspects of the Pyeloureteral Junction Syndrome in the Urology Department of the Cocody Chu from 2001 to 2023 AU - Benjamin Kouame AU - Felicite Nykan Kramo AU - Issoufou Coulibaly AU - Ali Drabo AU - Tano Kouamé William Armand Y1 - 2025/10/30 PY - 2025 N1 - https://doi.org/10.11648/j.ijcu.20250902.21 DO - 10.11648/j.ijcu.20250902.21 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 170 EP - 179 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20250902.21 AB - Objective: To study the pyeloureteral junction syndrome in the urology department of the UHC (University Hospital Center) of Cocody. Methodology: This is a retrospective, analytical study, covering a period of twenty-two years (January 2001 to December 2023) of patients with pyeloureteral junction syndrome in the department. Only confirmed cases were included. Results: We collected 15 cases in 22 years, giving an annual average of 0.7 cases. The average age was 31.5 years, ranging from 20 to 60 years. The M/F sex ratio was 1.5. The diagnosis was postnatal in all our patients. Lumbar and/or abdominal pain was noted in 11 patients (73.3%). Provoked lumbar and/or abdominal pain, lumbar and/or abdominal mass were the most common physical signs (93.3%). The involvement was right in 9 cases (60%) and bilateral in one patient (6.7%). Uroscan was performed in all our patients and confirmed the diagnosis. Renal function was normal in 93.33% of cases. Urine culture was performed in 13 of our patients (86.67%) and returned sterile in 60% of cases. Nephrectomy was performed in 10 patients (66.7%), pyeloplasty in 5 patients (33.3%). Conclusion: Uroscanner is the reference examination, having been performed in all patients, it allowed us to confirm the diagnosis. The management in our series was dominated by nephrectomy which reflects the late diagnosis and management. VL - 9 IS - 2 ER -