Ureteroscopic retrograde endopyelotomy.
With improvements in technology, we continue to seek new surgical techniques to approach old surgical issues. Antegrade percutaneous endopyelotomy has become the most common first-line approach to treatment of ureteropelvic junction obstruction, however, it is now possible to treat this condition successfully through a retrograde ureteroscopic approach. By combining the latest small ureteroscopes with the technology of endoluminal ultrasound, it is possible to treat this disease in a single setting without the complications of ureteral strictures or significant postoperative hemorrhage, thereby eliminating the need for a nephrostomy tube and dramatically reducing the morbidity of the procedure.
Soroush
M
M
Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Bagley
D H
DH
D002404:Catheterization / Q000295:instrumentation; D019723:Endoscopes; D019160:Endosonography / Q000295:instrumentation; D004867:Equipment Design; D006801:Humans; D007682:Kidney Pelvis / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D020709:Ureteroscopes