Ureteropelvic junction stenosis - antegrade and retrograde endopyelotomy, laparoscopic pyeloplasty. Right indication, pros and cons


Authors: A. Čermák;  D. Pacík
Published in: Urol List 2008; 6(3): 44-47

Overview

The ideal treatment for ureteropelvic junction (UPJ) obstruction would be minimally invasive with a low compli­cation and failure rate. Treatment modality would achieve the highest success rate, be capable to correct all forms of UPJ stenosis and remove coexisting renal calculi. The minimally invasive options have become widely accepted because of reduced symptoms and preserved or increased renal function. Endourological techniques were established as minimally alternatives to open pyeloplasty and were introduced with the goal to meet the standard of open dismembered pyeloplasty providing the same long term success rates.

This article reviews the current therapeutic options and reviews methods of selection for different treatment modalities.

Key words:
ureteropelvic junction stenosis, minimally invasive surgery, endopyelotomy, laparoscopy, robotic surgery


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