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Current Urology Reports

, Volume 8, Issue 2, pp 128–133 | Cite as

Antegrade percutaneous endopyelotomy

  • Raymond Ko
  • Mordechai Duvdevani
  • John D. Denstedt
Article
  • 38 Downloads

Abstract

Ureteropelvic junction obstruction (UPJO) is a well-known pathologic condition with several potential associated urologic complications. The treatment for UPJO has evolved dramatically during the past two decades with the advent of minimally invasive treatment options. This has resulted in shorter hospital stays, reduced postoperative pain, and quicker convalescence compared with the gold standard, open pyeloplasty. Antegrade (percutaneous) endopyelotomy is one of the many minimally invasive treatment options for this disorder. In this article, we review the technical aspects, outcomes, and current role of antegrade endopyelotomy in the treatment of UPJO.

Keywords

Hydronephrosis Ureteropelvic Junction Ureteropelvic Junction Obstruction Laparoscopic Pyeloplasty Yttrium Aluminum Garnet Laser 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References and Recommended Reading

  1. 1.
    Jarrett TW, Chan DY, Charambura TC, et al.: Laparoscopic pyeloplasty: the first 100 cases. J Urol 2002, 167:1253–1256.PubMedCrossRefGoogle Scholar
  2. 2.
    Desai MM, Gill IS, Carvalhal EF, et al.: Percutaneous endopyeloplasty: a novel technique. J Endourol 2002, 16:431–443.PubMedCrossRefGoogle Scholar
  3. 3.
    Albarran J: Operations plastiques et anastomoses dans la traitment des retentions de veim. Paris: These; 1903.Google Scholar
  4. 4.
    Davis DM: Intubated ureterotomy: results after 4 years. J Urol 1947, 57:233–237.Google Scholar
  5. 5.
    Rehman J, Ragab MM, Venkatesh R, et al.: Smooth-muscle regeneration after electrosurgical endopyelotomy in a porcine model as confirmed by electron microscopy. J Endourol 2004, 18:982–988.PubMedCrossRefGoogle Scholar
  6. 6.
    Wickham JE, Kellet MJ: Percutaneous pyelolysis. Eur Urol 1983, 9:122–124.PubMedGoogle Scholar
  7. 7.
    Badlani G, Eshghi M, Smith AD: Percutaneous surgery for ureteropelvic junction obstruction (endopyelotomy): technique and early results. J Urol 1986, 135:26–28.PubMedGoogle Scholar
  8. 8.
    Capello SA, Kogan BA, Giorgi LJ Jr, et al.: Prenatal ultrasound has led to earlier detection and repair of ureteropelvic junction obstruction. J Urol 2005, 174:1425–1428.PubMedCrossRefGoogle Scholar
  9. 9.
    Rabah D, Soderdahl DW, McAdams PD, et al.: Ureteropelvic junction obstruction: does CT angiography allow better selection of therapeutic modalities and better patient outcome? J Endourol 2004, 18:427–430.PubMedCrossRefGoogle Scholar
  10. 10.
    Van Cangh PJ, Wilmart JF, Opsomer RJ, et al.: Long-term results and late recurrence after endoureteropyelotomy: a critical analysis of prognostic factors. J Urol 1994, 151:934–937.PubMedGoogle Scholar
  11. 11.
    Clayman RV: Ureteropelvic junction obstruction: Does CT angiography allow better selection of therapeutic modalities and better patient outcome? J Urol 2005, 174:954.PubMedGoogle Scholar
  12. 12.
    Jabbour ME, Goldfischer ER, Klima WJ, et al.: Endopyelotomy after failed pyeloplasty: the long-term results. J Urol 1998, 160:690–692.PubMedCrossRefGoogle Scholar
  13. 13.
    Streem SB: Percutaneous endopyelotomy. Urol Clin North Am 2000, 27:685–693.PubMedCrossRefGoogle Scholar
  14. 14.
    Badlani G, Karlin G, Smith AD: Complications of endopyelotomy: analysis in series of 64 patients. J Urol 1988, 140:473–475.PubMedGoogle Scholar
  15. 15.
    Gupta M, Tuncay OL, Smith AD: Open surgical exploration after failed endopyelotomy: a 12-year perspective. J Urol 1997, 157:1613–1618.PubMedCrossRefGoogle Scholar
  16. 16.
    Sampaio FJ, Favorito LA: Ureteropelvic junction stenosis: vascular anatomical background for endopyelotomy. J Urol 1993, 150:1787–1791.PubMedGoogle Scholar
  17. 17.
    Mandhani A: Endopyelotomy sheath: a new device to facilitate antegrade endopyelotomy. J Urol 2003, 169:1782–1784.PubMedCrossRefGoogle Scholar
  18. 18.
    Hwang TK, Yoon JY, Ahn JH, et al.: Percutaneous endoscopic management of upper ureteral stricture size of stent. J Urol 1996, 155:882–884.PubMedCrossRefGoogle Scholar
  19. 19.
    Danuser H, Hochreiter WW, Ackermann DK, et al.: Influence of stent size on the success of antegrade endopyelotomy for primary ureteropelvic junction obstruction: results of 2 consecutive series. J Urol 2001, 166:902–909.PubMedCrossRefGoogle Scholar
  20. 20.
    Kletscher BA, Segura JW, LeRoy AJ, et al.: Percutaneous antegrade endopyelotomy: review of 50 consecutive cases. J Urol 1995, 153:701–703.PubMedCrossRefGoogle Scholar
  21. 21.
    Meretyk I, Meretyk S, Clayman RV: Endopyelotomy: comparison of ureteroscopic retrograde and antegrade percutaneous techniques. J Urol 1992, 148:775–782.PubMedGoogle Scholar
  22. 22.
    Mandhani A, Kapoor R, Zaman W, et al.: Is a 2-week duration sufficient for stenting in endopyelotomy? J Urol 2003, 169:886–889.PubMedCrossRefGoogle Scholar
  23. 23.
    Combe M, Gelet A, Abdelrahim AF, et al.: Ureteropelvic invagination procedure for endopyelotomy (Gelet technique): review of 51 consecutive cases. J Endourol 1996, 10:153–157.PubMedGoogle Scholar
  24. 24.
    Lam JS, Cooper KL, Greene TD, et al.: Impact of hydronephrosis and renal function on treatment outcome: antegrade versus retrograde endopyelotomy. Urology 2003, 61:1107–1111.PubMedCrossRefGoogle Scholar
  25. 25.
    Cassis AN, Brannen GE, Bush WH, et al.: Endopyelotomy review of results and complications. J Urol 1991, 146:1492–1495.PubMedGoogle Scholar
  26. 26.
    Knudsen BE, Cook AJ, Watterson JD, et al.: Percutaneous antegrade endopyelotomy: long-term results from one institution. Urology 2004, 63:230–234.PubMedCrossRefGoogle Scholar
  27. 27.
    Ost MC, Kaye JD, Guttman MJ, et al.: Laparoscopic pyeloplasty versus antegrade endopyelotomy: comparison in 100 patients and a new algorithm for the minimally invasive treatment of ureteropelvic junction obstruction. Urology 2005, 66:47–51.PubMedCrossRefGoogle Scholar
  28. 28.
    Motola JA, Badlani GH, Smith AD: Results of 212 consecutive endopyelotomies: an 8-year follow-up. J Urol 1993, 149:453–456.PubMedGoogle Scholar
  29. 29.
    Brooks JD, Kavoussi LR, Preminger GM, et al.: Comparison of open and endourologic approaches to the obstructed ureteropelvic junction. Urology 1995, 46:791–795.PubMedCrossRefGoogle Scholar
  30. 30.
    Khan AM, Holman F., Pasztor I, et al.: Endopyelotomy: experience with 320 cases. J Endourol 1997, 11:243–246.PubMedCrossRefGoogle Scholar
  31. 31.
    Inagaki T, Rha KH, Ong AM, et al.: Laparoscopic pyeloplasty: current status. BJU Int 2005, 95(Suppl 2):102–105.PubMedCrossRefGoogle Scholar
  32. 32.
    Patel V: Robotic-assisted laparoscopic dismembered pyeloplasty. Urology 2005, 66:45–49.PubMedCrossRefGoogle Scholar
  33. 33.
    Shalhav AL, Giusti G, Elbahnasy AM, et al.: Adult endopyelotomy: impact of etiology and antegrade versus retrograde approach on outcome. J Urol 1998, 160:685–689.PubMedCrossRefGoogle Scholar
  34. 34.
    Minervini A, Davenport K, Keeley FX Jr, et al.: Antegrade versus retrograde endopyelotomy for pelvi-ureteric junction (PUJ) obstruction. Eur Urol 2006, 49:536–542.PubMedCrossRefGoogle Scholar
  35. 35.
    Albani JM, Yost AJ, Streem SB: Ureteropelvic junction obstruction: determining durability of endourological intervention. J Urol 2004, 171:579–582.PubMedCrossRefGoogle Scholar
  36. 36.
    Oshinsky GS, Jarrett TW, Smith AD: New technique in managing ureteropelvic junction obstruction: percutaneous endoscopic pyeloplasty. J Endourol 1996, 10:147–151.PubMedGoogle Scholar
  37. 37.
    Desai MM, Desai MR, Gill IS: Percutaneous endopyeloplasty: current clinical status. BJU Int 2005, 95Suppl 2:106–109.PubMedCrossRefGoogle Scholar
  38. 38.
    Sharp DS, Desai MM, Molina WR, et al.: Dismembered percutaneous endopyeloplasty: a new procedure. J Endourol 2005, 19:210–217.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Raymond Ko
  • Mordechai Duvdevani
  • John D. Denstedt
    • 1
  1. 1.St. Joseph’s Healthcare LondonDivision of UrologyLondonCanada

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