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Therapeutic endourology: ureteropelvic junction obstruction


Authors: Mihir Desai 1;  Bryan Hinck 2;  Francis X. Keeley 3;  Manoj Monga 2
Authors‘ workplace: Cleveland Clinic 1;  University of Minnesota 2;  Bristol Urological Institute 3
Published in: Urol List 2008; 6(3): 38-42

Overview

Endourology has an important role in the diagnosis and management of ureteropelvic junction obstruction. In this review article we discuss the evolution of this role in the face of developing laparoscopic and robo­tic techniques. We will discuss the relative advantages and disadvantages of balloon dilation; antegrade, retrograde or cutting balloon endopyelotomy; and open or laparoscopic pyeloplasty. We will discuss the current criteria for patient selection using endoscopic inspection and adjunctive imaging modalities, and provide a step-by-step discussion of both the antegrade and retrograde endoscopic approaches to mana­gement of this disease.

Key words:
ureteropelvic junction obstruction, endourology, ureteroscopy


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