PMID: 11927299Apr 3, 2002Paper

Laparoscopic pyeloplasty for UPJ obstruction with crossing vessels: contrast-enhanced color Doppler findings and long-term outcome

Urology
F FrauscherGeorg Bartsch

Abstract

To evaluate, in the present long-term follow-up study, contrast-enhanced color Doppler imaging (CDI) findings and the clinical outcome of patients with crossing vessels at the obstructed ureteropelvic junction (UPJ), who underwent laparoscopic pyeloplasty. In a previous study, contrast-enhanced CDI proved capable of detecting crossing vessels at the UPJ. A total of 23 patients, who had undergone laparoscopic pyeloplasty and displacement of crossing vessels for UPJ obstruction at least 2 years before this study (mean 27 months), underwent contrast-enhanced CDI, intravenous urography, and renography. Contrast-enhanced CDI was performed using intravenously administered Levovist to assess the displacement of the vessels relative to the UPJ. All patients completed analog follow-up pain scales and quality-of-life assessment questionnaires. RESULTS. Contrast-enhanced CDI revealed a cranial displacement (mean 1.3 cm) of the crossing vessels from the UPJ in all 23 cases. Intravenous urography showed a decrease in the degree of hydronephrosis, with a success rate of 100% in low-grade and 86% in high-grade hydronephrosis. The split renal function improved from 39.7% to 48.1%. Analog pain scale measurements demonstrated a mean improvement ...Continue Reading

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Citations

Aug 24, 2006·Der Urologe. Ausg. A·G Janetschek
Jul 16, 2008·Journal of Endourology·Jiangping GaoBaofa Hong
Aug 22, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fabrizio GalloClaudio Giberti
Oct 12, 2004·The Urologic Clinics of North America·Reinhard PeschelMatthew T Gettman
Feb 21, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Masatoshi TanakaUNKNOWN Urological Laparoscopic Surgery Guideline Committee, Japanese Society of Endourology and ESWL
Aug 26, 2011·Urologia Internationalis·Pengfei ShaoChangjun Yin
May 14, 2018·World Journal of Urology·Martin HabicherUNKNOWN Training and Research in Urological Surgery and Technology (T.R.U.S.T.)-Group
Jun 18, 2003·Current Opinion in Urology·Alaa El-Ghoneimi

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