Author/Editor     Galluci, Michelle; Alpi, Giorgio
Title     Antegrade transpelvic endopyelotomy in primary obstruction of the ureteropelvic junction
Type     članek
Source     In: Vodopija N, editor. Minimalna invazivna terapija v urologiji. 4. slovenski urološki simpozij; 1997 mar 6-8; Slovenj Gradec. Slovenj Gradec: Splošna bolnišnica Slovenj Gradec,
Publication year     1997
Language     eng
Abstract     The authors present a 5-year follow-up of endopyelotomy using a personal technique for cases of primary ureteropelvic junction obstruction. After perculaneous access has been gained via a lower caliy, the technique involves wide opening of the renal pelvis and exploration of the peripelvic space before a 3-to 4-cm long sectioning of the ureter. The aim is to carry out all of the operation in full view and without the need for a large-caliber stent, in order to perform endopyelotomy also in pediatric patients or in presence of anomalous vessels. The follow-up demonstrates o good result in 80% of 46 patients aged 5 to 62 years; two patients underwent surgical repair. The authors think the antegrade transpelvic endopyelotomy is an endourologic operation whose results and feasibility parallel those of open surgery.
Descriptors     KIDNEY PELVIS
URETERAL OBSTRUCTION
SURGERY, ENDOSCOPIC
STENTS
FOLLOW-UP STUDIES
UROGRAPHY