Abstract:
OBJECTIVE:To review our experience in the management of secondary pelvi-ureteric junction obstruction (PUJO) comparing endopyelotomy with pyeloplasty. PATIENTS AND METHODS:We retrospectively analysed our database of 58 patients having undergone operative management of PUJO after failed primary management, including 41 with failed pyeloplasty and 17 failed endopyelotomy. Outcomes included mercapto-acetyltriglycine (MAG3) drainage capacity, symptomatic control and need for further intervention. Success was defined as freedom from failure in all three. RESULTS:Patients undergoing secondary pyeloplasty had better outcomes than endopyelotomy for symptomatic success (87.5% vs 74%), resolution of obstruction on MAG3 renography (96% vs 74%), and no need for further intervention (96% vs 71%). Overall success was 87.5% for pyeloplasty compared with 44% after secondary endopyelotomy. CONCLUSION:Outcomes of pyelopasty for secondary PUJO were superior when compared with endopyelotomy.
journal_name
BJU Intjournal_title
BJU internationalauthors
Vannahme M,Mathur S,Davenport K,Timoney AG,Keeley FX Jrdoi
10.1111/bju.12454subject
Has Abstractpub_date
2014-01-01 00:00:00pages
108-12issue
1eissn
1464-4096issn
1464-410Xjournal_volume
113pub_type
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journal_title:BJU international
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