[Clinical experience of endopyelotomy].
From July 1986, percutaneous endopyelotomy was performed on a total of 12 patients (13 kidneys) including 8 males and 4 females with ureteropelvic junction (UPJ) obstruction. Of the 13 kidneys, 9 had primary UPJ obstruction and 4 had secondary UPJ obstruction. A rigid urethrotome (cold knife) was employed in 12 cases and a flexible electorotome (hot knife) in one case. A stent ureteral catheter was placed for 3 to 31 weeks after the procedure. The outcome was evaluated by radiography and urodynamic examinations. A successful outcome was obtained in 8 of 9 kidneys with primary UPJ obstruction and in 1 of 4 kidneys with secondary UPJ obstruction. These findings suggest that percutaneous endopyelotomy is useful in the treatment of primary UPJ obstruction.
Department of Urology, Kyoto Prefectural University of Medicine.
H
H
Uehara
H
H
Watanabe
M
M
Saitoh
M
M
Uchida
Y
Y
Imaide
Y
Y
Itoh
M
M
Nakamura
J
J
Soh
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004724:Endoscopy; D005260:Female; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D015607:Stents; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014567:Urography