title: [Endopyelotomy: mid- and long-term follow up].
abstract: We report our experience on 24 UPJ obstruction, that underwent endopyelotomy. The follow-up on these patients range from 12 to 72 months. The success rate, based on patient symptomatology as well as urographical and scintigraphical parameters, was 83.3%. An adequate selection of cases, with grade of hydronephrosis and crossing vessels pre-operatorial detection, would possibly show a further improvement of success rate. The antegrade transpelvic endopyelotomy adopted in the most recent cases, allows the identification of crossing vessels and the performance of a safer endopyelotomy. The average operating time was very short, while morbidity was limited to 3 cases (2 of gross haematuria and 1 urosepsis). All this shows that endopyelotomy is the first choice treatment of UPJ obstruction.
authors.affiliation: Divisione di Urologia, Presidio Ospedaliero di Portogruaro, VE.
authors.forename: R
authors.initials: R
authors.lastname: Zucconelli
authors.forename: P
authors.initials: P
authors.lastname: Belmonte
authors.forename: G
authors.initials: G
authors.lastname: Fiaccavento
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014517:Ureteral Obstruction / Q000601:surgery*