Ureterocalicostomy for reconstruction of complicated pelviureteric junction obstruction.
Seven patients with complicated pelviureteric junction (PUJ) obstruction underwent reconstruction by means of ureterocalicostomy; 5 had undergone previous surgery and 2 had primary obstruction. Radiographic studies showed resolution or improvement of the obstruction in 5 patients, who remain asymptomatic 15 to 47 months (mean 30) post-operatively. Obstruction persists in 1 patient and the other developed renal artery thrombosis with subsequent loss of the kidney. It was concluded that ureterocalicostomy can provide long-term, successful reconstruction of a complicated PUJ obstruction, but significant complications may be associated with the procedure.
Ross
J H
JH
Department of Urology, Cleveland Clinic Foundation.
Streem
S B
SB
Novick
A C
AC
Kay
R
R
Montie
J
J
D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007670:Kidney Calices / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012078:Renal Artery Obstruction / Q000209:etiology; D013927:Thrombosis / Q000150:complications; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*