[Anterograde transpelvic endopyelotomy].
The Authors describe their own technique of antegrade endopyelotomy for cases of primary ureteropelvic junction obstruction. After percutaneous access has been gained via the lower calix, the technique involves making a wide opening of the renal pelvis and exploring the peripelvic space in front of a 3 to 4 cm long section of the ureter. The aim is to carry out the operation with an unrestricted view and without the need for a large calibre stent, in order to perform endopyelotomy in pediatric patients or in the presence of anomalous vessels. The follow-up demonstrates good results in 80% of 46 patients aged 5 to 62 years. The Authors think that antegrade transpelvic endopyelotomy is an endourologic operation with results and feasibility similar to those reported for open surgery.
Gallucci
M
M
Divisione di Urologia, Ospedale Cristo Re, Roma.
Mauro
M
M
Nesci
L
L
Vincenzoni
A
A
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D007670:Kidney Calices / Q000601:surgery; D007682:Kidney Pelvis / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D013997:Time Factors; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D014546:Urinary Catheterization; D014567:Urography