Endopyeloplasty versus endopyelotomy versus laparoscopic pyeloplasty for primary ureteropelvic junction obstruction

Urology
Mihir M DesaiInderbir S Gill

Abstract

To present our intermediate-term (1-year) data on endopyeloplasty and retrospectively compare it with endopyelotomy and laparoscopic pyeloplasty in 44 patients with primary ureteropelvic junction (UPJ) obstruction. Endopyeloplasty, horizontal percutaneous suturing of a conventional longitudinal endopyelotomy incision, is a promising novel option for minimally invasive management of UPJ obstruction. We recently developed the technique and demonstrated the clinical feasibility of percutaneous endopyeloplasty. At our two institutions, 44 consecutive, nonrandomized patients with primary UPJ obstruction underwent percutaneous endopyeloplasty (n = 15; group 1), percutaneous endopyelotomy (n = 15; group 2), or laparoscopic dismembered pyeloplasty (n = 14; group 3). The study inclusion criteria were short segment (less than 1 cm) stenosis, no prior surgery for UPJ obstruction, and no crossing vessels in groups 1 and 2. The mean patient age was 30.3, 38.6, and 38.9 years and the duration of symptoms was 5.5, 6, and 6.6 months in groups 1, 2, and 3, respectively. Postoperative success was evaluated by symptoms, intravenous urography, and/or diuretic renography. The mean operative time was 119 minutes in group 1, 52 minutes in group 2, an...Continue Reading

References

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Citations

May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Stephanie J SymonsAdrian D Joyce
Jan 1, 2007·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Pratipal SinghAnant Kumar
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Nov 4, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tomasz SzydełkoJerzy Lorenz
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Dec 29, 2011·Urology·Mahesh Desai, Arvind P Ganpule
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Aug 8, 2006·The Journal of Urology·Scott TroxelMike Nugyen
May 25, 2010·Korean journal of urology·Tae-Kon Hwang
Sep 28, 2016·Langmuir : the ACS Journal of Surfaces and Colloids·Katarzyna GajosCelestino Padeste
Dec 9, 2016·Journal of Endourology·Bruce L JacobsChristopher S Saigal
Aug 24, 2016·Journal of Endourology·Weil R LaiRaju Thomas
Dec 30, 2008·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Francisco T DenesMiguel Srougi
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Oct 19, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Mustafa KadihasanogluErkan Sonmezay
Jul 24, 2020·Curēus·Meenu Joseph, Danny Darlington

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