Ureteropelvic Junction Obstruction

  • Stevan B. Streem
  • Jonathan H. Ross

Abstract

The diagnosis of ureteropelvic junction obstruction (UPJO) implies functionally significant impairment of urinary transport from the renal pelvis to the ureter. Although most cases are probably congenital in origin, the problem may not become clinically apparent until much later in life. This chapter is limited to a discussion of the treatment of congenital UPJO, although at times these techniques may be applied appropriately to the management of some related acquired conditions.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Readings

  1. 1.
    Anderson JC, Hynes W. Retrocaval ureter: a case diagnosed preoperatively and treated successfully by a plastic operation. Br J Uro1 21:209, 1949.Google Scholar
  2. 2.
    Badlani G, Eshghi M, Smith AD. Percutaneous surgery for ureteropelvic junction obstruction (endopyelotomy): technique and early results: J Uro1 135:26, 1986.Google Scholar
  3. 3.
    Das S, Amar AD. Ureteropelvic junction obstruction with associated renal anomalies. J Urol 131:872, 1984.PubMedGoogle Scholar
  4. 4.
    Streem SB, Franke J, Smith J. Management of upper urinary tract obstruction. In Campbell’s Urology, 8th ed. (Walsh PC, Wein AJ, Vaughan ED Jr., Retik AB, eds). WB Saunders, Philadelphia, 2002.Google Scholar
  5. 5.
    Gerber GS, Lyon ES. Endopyelotomy: patient selection, results, and complications. Urology 43:1, 1994.CrossRefGoogle Scholar
  6. 6.
    Inglis JA, Tolley DA. Ureteroscopic pyelolysis for pelviureteric junction obstruction. Br JUro1 58:250, 1986.Google Scholar
  7. 7.
    Kumon H, Tsugawa M, Hashimoto H, et al. Impact of 3-dimensional helical computerized tomography on selection of operative methods for ureteropelvic junction obstruction. J Urol 158:1696, 1997.PubMedCrossRefGoogle Scholar
  8. 8.
    Matin SF, Yost A, Streem, SB. Ureteroscopic laser endopyelotomy: a 12 year single center experience. J Endourol, in press.Google Scholar
  9. 9.
    Motola JA, Badlani GH, Smith AD. Results of 212 consecutive endopyelotomies: an 8-year follow-up. JUro1 149:453,1993.Google Scholar
  10. 10.
    Ramsay JW, Miller RA, Kellett MJ, et al. Percutaneous pyelolysis: indications, complications and results. Br JUrol 56:586, 1984.CrossRefGoogle Scholar
  11. 11.
    Ransley PG, Dhillon HK, Gordon I, et al. The postnatal management of hydronephrosis diagnosed by prenatal ultrasound. JUrol 144:584, 1990.Google Scholar
  12. 12.
    Ross JH, Streem SB, Novick AC, et al. Ureterocalicostomy for reconstruction of complicated pelviureteric junction obstruction. Br JUro1 65:322,1990.Google Scholar
  13. 13.
    Sampaio FJB. Vascular anatomy at the ureteropelvic junction. Urol Clin North Am 25:251, 1998.PubMedCrossRefGoogle Scholar
  14. 14.
    Savage SJ, Streem SB. Simplified approach to percutaneous endopyelotomy. Urology 56:848, 2000.PubMedCrossRefGoogle Scholar
  15. 15.
    Stephens FD. Ureterovascular hydronephrosis and the &quote;aberrant&quote; renal vessels. J Urol 128:984, 1982.PubMedGoogle Scholar
  16. 16.
    Van Cangh, PI, Wilmart JF, Opsomer RJ, et al. Long-term results and late recurrence after endoureteropyelotomy: a critical analysis of prognostic factors. JUro1 151:934, 1994.Google Scholar

Copyright information

© Humana Press Inc., Totowa, NJ 2006

Authors and Affiliations

  • Stevan B. Streem
    • 1
  • Jonathan H. Ross
    • 2
  1. 1.Section of Stone Disease and Endourology, Glickman Urological InstituteCleveland Clinic FoundationCleveland
  2. 2.Section of Pediatric UrologyThe Children’s Hospital at the Cleveland Clinic FoundationCleveland

Personalised recommendations