The minimally invasive treatment of ureteropelvic junction obstruction: a review of our experience during the last decade

The Journal of Urology
Brent V YankeDemetrius H Bagley

Abstract

The minimally invasive treatment of ureteropelvic junction obstruction has evolved during the last decade from endoscopic to laparoscopic and robotic. We review our 10-year experience with ureteropelvic junction obstruction, and report on our experience and followup. We reviewed all patients treated during the last 10 years. There were 294 procedures performed with complete records on 273 patients including 128 retrograde endopyelotomies, 116 laparoscopic pyeloplasties and 29 robotic pyeloplasties. Technique for each procedure is reviewed. Statistical analysis was performed on all results. Variables evaluated were gender, age (younger than 41 vs 41 years or older), side (right or left), presence of crossing vessels, presence of a high insertion, primary or secondary procedure and whether prior endopyelotomy or pyeloplasty had been performed. Mean followup for endopyelotomy, laparoscopic pyeloplasty and robotic pyeloplasty was 20, 20 and 19 months, respectively, with success rates of 60.2%, 88.8% and 100%, respectively. On univariable analysis only the presence of crossing vessels or a high insertion was significant for laparoscopic pyeloplasty. On multivariable analysis age was significant for endopyelotomy and the presence of ...Continue Reading

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Citations

Oct 23, 2009·World Journal of Urology·Sigrid WagnerPaolo Fornara
Oct 27, 2009·Journal of Endourology·Nicholas T LeoneDemetrius H Bagley
Jan 18, 2011·Journal of Endourology·J Stuart Wolf
Jan 19, 2011·Journal of Endourology·Steven M Lucas, Chandru P Sundaram
Dec 24, 2011·Journal of Endourology·Prabhjot SinghAmlesh Seth
Sep 13, 2012·Journal of Endourology·Bruce L JacobsJohn M Hollingsworth
Apr 5, 2012·Journal of the American Veterinary Medical Association·Nathaniel K LamDemetrius H Bagley
Nov 10, 2013·International Urology and Nephrology·Abdol-Mohammad KajbafzadehAfshin Tajalli
Dec 31, 2009·Journal of Endourology·Frédéric PouliotThierry Dujardin
Jul 12, 2011·Actas urologicas españolas·E García-GalisteoV Baena-González
Mar 20, 2012·The Journal of Urology·Rakesh KhannaRobert J Stein
Mar 6, 2012·Urology·Burak Turna, Robert J Stein
Apr 30, 2011·Journal of Pediatric Urology·Abdol-Mohammad KajbafzadehSaman Shafaat Talab
Jan 25, 2011·Urology·Paul W VeenboerTom P V M de Jong
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Oct 19, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Mustafa KadihasanogluErkan Sonmezay
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