2023年7月10日 · Ureteropelvic junction obstruction (UPJO) is a well-recognized clinical entity that results in impaired urine flow from the renal pelvis into the ureter and, if not detected and treated properly, can result in complete loss of the affected kidney.

Surgical management of UPJO aims to provide symptomatic relief and preserve remaining renal function. Today, treatment usually consists of either laparoscopic pyeloplasty or endopyelotomy. Its effectiveness, versatility and safety make laparoscopic pyeloplasty the optimal treatment for UPJO in virtually all circumstances. Short-term effectiveness

Surgery is generally needed for a complete UPJO and for a partial UPJO that is worsening or having complications such as UTIs. The surgery is called a pyeloplasty, which basically means reconstruction of the ureteropelvic junction.

In this study we show that laparoscopic pyeloplasty is an efficient treatment for UPJO, with a significant improvement in pain and renal scan drainage in 92% and 47% of the patients, respectively. 89% of the patients had stabilized their renal function or …

Pyeloplasty is effective for about 95% of adults and kids with UPJ obstruction. This means more than 9 out of 10 people had symptom improvement and their pee was able to flow safely from their kidney to their ureter after surgery.

2024年9月24日 · Anderson-Hynes Pyeloplasty Surgery for PUJ Obstruction, a surgical procedure designed to correct ureteropelvic junction obstruction (UPJO), remains a gold standard in urology for patients with this condition. The procedure, first described by Dr. John Anderson and Dr. William Hynes in the early 20th century, involves reconstructing the narrowed ...

Laparoscopic redo-pyeloplasty is a feasible procedure for the treatment of recurrent ureteropelvic junction obstruction (UPJO), with a low rate of post-operative complications and a high success rate in high laparoscopic volume centers.

2019年12月1日 · There are many methods used to treat UPJO, including pyeloplasty and anterograde or retrograde endoluminal stenosis incision or dilation. Long-term follow-up studies have established dissected pyeloplasty as the criterion standard for treatment of UPJO due to its high success rate and good clinical effect [ 1 , 5 ].

For ureteropelvic junction obstruction (UPJO), the standard of surgical care is dismembered pyeloplasty. This applies both for intrinsic but also for extrinsic etiology of the UPJO. When in 1995, Peters described for the first time laparoscopic pyeloplasty in children, the era of laparoscopic pediat …

2006年2月1日 · In general, all symptomatic UPJO patients who fulfill the prerequisites for open surgery are suitable for retroperitoneoscopic pyeloplasty. The retroperitoneoscopic approach is feasible even in patients who have had prior extensive transperitoneal (abdominal) surgery, because the peritoneal cavity is not entered.