Laparoscopic Pyeloplasty in Adults – Mid-Term Results in 32 Laparoscopic Pyeloplasties during 2003–2008

Authors: L. Šafařík;  K. Novák;  M. Pešl;  K. Fógel;  J. Sedláček;  P. Macek;  J. Dvořáček
Authors‘ workplace: Urologická klinika 1. LF UK a VFN Praha, přednosta: prof. MUDr. J. Dvořáček, DrSc.
Published in: Rozhl. Chir., 2009, roč. 88, č. 3, s. 142-146.
Category: Monothematic special - Original


Pyeloureteric iunction obstruction is the most common inborn error of the upper urinary pathways. In the time of routine prenatal ultrasound examination, this disease is discovered in the child’s age, when it is treated most frequently. Publication summarizes the results of modern laparoscopic management in the adults, who had not been diagnosed previously and symptoms occurred many years after their birthdate. The surgical treatment has been changed in the approach, but not the goal of desobtruction. The results in the adults are influenced not only by the operation technique, but also by the length of time the obstruction lasted and by the number and severity of the inflammatory changes.

Key words:
pyeloplasty – laparoscopy – urology


1. Canes, D., Berger, A., Gettman, M. T., et al. Minimally invasive approaches to ureteropelvic junction obstruction. Urol. Clin. N. Am., 35, 2008, s. 425–439.

2. Carr, M. C.: Anomalies and surgery of the ureteropelvic junction in children. In.: Walsh, Retik, Vaughan, Wein, Eds.: Campbell‘s Urology, 8th Edition, 2002, s. 1995–2006.

3. Anderson, J. C., Hynes, W. Retrocaval ureter: A case diagnosed peroperatively and treated successfully by a plastic operation. Br. J. Urol., 21, 1949, s. 209.

4. Culp, O. S., Deweerd, J. H. A pelvic flap operation for certain types of ureteropelvic obstruction; observations after two years experience. J. Urol., 71, 1954, s. 523–529.

5. Starr, N. T., Maizels, M., Chou, P., et al. Microanatomy and morphometry of of the hydronephrotic obstructed renal Elvis in asymptomatic infants. J. Urol., 148, 1992, s. 519–524.

6. Hanna, M. K., Jeffs, R. D., Sturgess, J. M., et al. Ureteral structure and ultrastructure: Part II. Congenital ureteropelvic junction obstruction and primary obstructive megaureter. J. Urol., 116, 1976, s. 725–730.

7. Stephens, F. D. Ureterovascular hydronephrosis and the „aberrant“ renal vessels. J. Urol., 128, 1982, s. 984–987.

8. Lebowitz, R. L., Blickman, J. G. The coexistence of ureteropelvic junction obstruction and reflux. Am. J. Roentgenol., 140, 1983, s. 231–238.

9. Johnston, J. H., Evans, J. P., Glassberg, K. I., et al. Pelvic hydronephrosis in children: A review of 219 personal cases. J. Urol., 117, 1977, s. 97–101.

10. Lebowitz, R. L., Griscom, N. T. Neonatal hydronephrosis: 146 cases. Radiol. Clin. N. Am., 15, 1977, s. 49–59.

11. Janetschek, G., Peschel, R., Bartsch, G. Laparoscopic Fenger plasty. J. Endourol., 14, 2000, s. 889–893.

12. Albqami, N., Janetschek G. Laparoscopic pyeloplasty. Ann. Urol. (Paris), 40, 2006, s. 363–367.

13. Preminger, G. M., Clayman, R. V., Nakada, S. Y., et al. A multicenter clinical trial investigating the use of a fluoroscopically controlled cutting balloon catheter for the management of ureteral and ureteropelvic junction obstruction. J. Urol., 157, 1997, s. 1625–1629.

14. Danuser, H., Ackermann, D. K., Boehlen, D., et al. Endopyelotomy for primary ureteropelvic junction obstruction: risk factors determine the success rate. J. Urol., 159, 1998, s. 56–61.

15. Renner, C., Frede, T., Seemann, O., et al. Laser endopyelotomy: minimaxy invasive therapy of ureteropelvic junction stenosis. J. Endourology, 12, 1998, s. 537–544.

16. Ost, M. C., Kaye, J. D., Guttman, M. J., et al. Laparoscopic pyeloplasty versus antegrade endopyelotomy: comparison in 100 patients and a new algorithm for the minimally invasive treatment of ureteropelvic junction obstruction. Urology, 66, 5 Suppl, 2007, s. 47–51.

17. Stein, R. J., Gill, I. S., Desai, M. M. Comparison of surgical approaches to ureteropelvic junction obstruction: endopyeloplasty versus endopyelotomy versus laparoscopic pyeloplasty. Curr. Urol. Rep., 8, 2007, s. 140–149.

18. Hyams, E. S., Mufarrij, P. W., Stifelman, M. D. Robotic renal and upper tract reconstruction. Curr. Opin. Urol., 18, 2008, s. 557–563.

19. Desai, M. M., Rao, P. P., Aron, M., et al. Scarless single-port transumbilical nephrectomy and pyeloplasty: a first clinical report. BJU Int., 101, 2008, s. 83–88.

Surgery Orthopaedics Trauma surgery
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account