Abstract
Percutaneous endopyelotomy was performed 13 times on 11 patients with primary and secondary UPJ obstruction between 1994 and 2002. Excretory urogram revealed improvement in ten of eleven patients. One of the ten successfully treated patients required repeated endopyelotomy. Endopyelotomy failed in one patient, who had secondary UPJ obstruction that had been stenosed by granuloma caused by a ureteral stone. As the patient had UPJ obstruction of high insertion type with thinned renal parenchyma, nephrectomy was performed after repeated endopyelotomy. Compared with open pyeloplasty, percutaneous endopyelotomy is less invasive and is cosmetically advantageous.
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Davis DM, Strong GH, Drake WM. Intubated ureterotomy: experimental work and clinical results. J Urol 1948; 59: 851.
Whitefield HN, Mills V, Miller RA, Wickham JEA. Percutaneous pyelolysis: an alternative to pyeloplasty. Br J Urol 1983; 55(Suppl.): 93.
King LR, Coughlin PW, Ford KK et al. Initial experience with percutaneous and transurethral ablation of postoperative ureteral strictures in children. J Urol 1984; 131: 1167.
Jabbour ME, Goldfischer ER, Klima WJ et al. Endopyelotomy after failed pyeloplasty: the long-term results. J Urol 1998; 160: 690.
Maeda S, Tamaki M, Takeuchi T et al. Endosccopic and fluoroscopic pyeloureterotomy for ureteropelvic junction obstruction and ureteral stricture in children. Jap J Endourol ESWL 1993; 2: 182.
Hoenig DM, Shalhav AL, Elbahnasy AM et al. Impact of etiology of secondary ureteropelvic junction obstruction on outcome of endopyelotomy. J Endourol 1998; 12: 131.
Korth K, Kuenkel M, Erschig M. Percutaneous pyeloplasty. Urology 1988; 31: 503.
Lee WJ, Badlani GH, Karlin GH, Smith AD. Treatment of ureteropelvic stricture with percutaneous pyelotomy: Experience in 62 patients. Amer J Roentgen 1988; 151: 515.
Tajima A, Ishikawa A, Terada H et al. Percutaneous endopyelotomy for ureteropelvic junction stricture. Jap J Endourol ESWL 1990; 3: 159.
Kavoussi LR, Meretyk S, Dierks SM et al. Endopyelotomy for secondary ureteropelvic junction obstruction in children. J Urol 1991; 145: 345.
Takeuchi G, Sakai S, Kawada Y. Percutaneous pyeloureterotomy and transurethral ureteropyelotomy for uretero-pelvic junction obstruction and ureteral stricture. Jap J Endourol ESWL 1991; 4: 145.
Badlani G, Karlin G, Smith AD. Complications of endopyelotomy: Analysis in series of 64 patients. J Urol 1988; 140: 473.
Van Cangh PJ, Jorion JL, Wese FX, Opsomer RJ. Endoureteropyelotomy; percutaneous treatment of ureteropelvic junction obstruction. J Urol 1989; 141: 1317.
Ramsay JWA, Miller RA, Kellet MJ et al. Percutaneous pyelolysis: Indications, complications and results. Brit J Urol 1984; 56: 586.
Ono Y, Ohshima S, Kinukawa T et al. Endopyeloureterotomy via a transpelvic extraureteral approach. J Urol 1992; 147: 352.
Schenkman EM, Trarry WF. Comparison of percutaneous endopyelotomy with open pyeloplasty for pediatric uretero-pelvic junction obstruction. J Urol 1998; 159: 1013.
Bauer JJ, Bishoff JT, Moore RG et al. Laparoscopic versus open pyeloplasty: Assessment of objective and subjective outcome. J Urol 1999; 162: 692.
Ramakumar S, Lancini V, Chan DY et al, Jarrett TW. Laparoscopic pyeloplasty with concomitant pyelolithotomy. J Urol 2002; 167: 1378.
Pattaras JG, Moore RG. Laparosccopic pyeloplasty. J Endourol 2000; 14: 895.
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Okumura, A., Fuse, H., Tsuritani, S. et al. Percutaneous endopyelotomy for ureteropelvic junction obstruction. Int Urol Nephrol 34, 453–456 (2002). https://doi.org/10.1023/A:1025606600089
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DOI: https://doi.org/10.1023/A:1025606600089