Ureteropelvic junction obstruction: treatment with percutaneous endopyelotomy.

Abstract:

:The authors review their experience with percutaneous endopyelotomy in the treatment of ureteropelvic junction obstruction. Twenty-four patients with symptoms of ureteropelvic junction obstruction underwent excretory urography, which revealed nonspecific narrowing in several cases. Angiography was performed in 14 patients suspected of having a vessel crossing at the junction, but such a vessel was found in only four, who subsequently underwent dismembered pyeloplasty. One patient was treated with decompression, but later required endopyelotomy. Nineteen patients underwent percutaneous endopyelotomy; in 11 of them, dilation with a balloon catheter was required to ensure complete disruption of the stenosis. After 6-36 months follow-up, 17 of the 19 patients were asymptomatic with no obstruction and two were asymptomatic with mild obstruction.

journal_name

Radiology

journal_title

Radiology

authors

Bush WH,Brannen GE,Lewis GP

doi

10.1148/radiology.171.2.2704820

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

535-8

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

171

pub_type

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