World Journal of Urology

, Volume 29, Issue 1, pp 91–95 | Cite as

The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys

  • Costas D. Lallas
  • Raymond W. Pak
  • Christopher Pagnani
  • Scott G. Hubosky
  • Brent V. Yanke
  • Frank X. Keeley
  • Demetrius H. Bagley
Original Article

Abstract

Purpose

Data regarding the treatment of ureteropelvic junction obstruction (UPJO) in horseshoe kidneys are limited. We performed a retrospective analysis of our experience with minimally invasive treatment of UPJO in patients with this anomaly.

Methods

Between March of 1996 and March 2008, 9 patients with horseshoe kidneys were treated for UPJO at our institution. Of these patients, 6 were managed with retrograde endopyelotomy, 2 with laparoscopic pyeloplasty, and one by robotic pyeloplasty. Outcomes of these procedures were retrospectively reviewed.

Results

A total of nine patients were available for analysis. Four of six patients who underwent endopyelotomy had available follow-up, with a mean of 56 months. The success rate for these patients was 75%. Two of three patients (67%) in the laparoscopic/robotic cohort were successfully treated with a mean follow-up of 21 months.

Conclusions

UPJO in horseshoe kidneys can pose a therapeutic dilemma. The minimally invasive treatment of these patients is feasible with good success rates for both endopyelotomy and laparoscopic/robotic pyeloplasty.

Keywords

Ureteropelvic junction obstruction Horseshoe kidney Endopyelotomy Pyeloplasty 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Costas D. Lallas
    • 1
  • Raymond W. Pak
    • 1
  • Christopher Pagnani
    • 1
  • Scott G. Hubosky
    • 1
  • Brent V. Yanke
    • 1
  • Frank X. Keeley
    • 1
  • Demetrius H. Bagley
    • 1
  1. 1.Department of Urology, Kimmel Cancer CenterThomas Jefferson University HospitalPhiladelphiaUSA

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