Long-term results and late recurrence after endoureteropyelotomy: a critical analysis of prognostic factors.
Of 102 consecutive endoureteropyelotomy cases followed for 1 to 10 years (mean 5) late recurrence was observed in 13% and long-term success was achieved in 73%. Of 67 cases with an available preoperative angiogram a strong association was noted between the existence of a vessel crossing the ureteropelvic junction and high grade hydronephrosis, and final failure and/or recurrence: long-term success rate was 39% when both factors were present and it was 95% when neither factor was present. Therefore, we recommend that the presence of a vessel should be determined preoperatively since it significantly influences the outcome.
Van Cangh
P J
PJ
Division of Urology, University of Louvain Medical School, Brussels, Belgium.
Wilmart
J F
JF
Opsomer
R J
RJ
Abi-Aad
A
A
Wese
F X
FX
Lorge
F
F
D016001:Confidence Intervals; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D016017:Odds Ratio; D011379:Prognosis; D012008:Recurrence; D012307:Risk Factors; D013997:Time Factors; D017211:Treatment Failure; D014517:Ureteral Obstruction / Q000601:surgery*