[Contribution of lumboscopy in the treatment of pyeloureteral junction syndromes. Report of 25 cases].
OBJECTIVE
Evaluation of the results of lumboscopic repair of ureteropelvic junction syndromes.


METHODS
Retrospective study of 25 consecutive lumboscopic retroperitoneal pyeloplasties performed over 3 years in 14 women and 11 men with symptomatic ureteropelvic junction syndrome.


RESULTS
The mean operating time was 200 minutes (range: 120-360 minutes) and mean blood loss was 60 ml. Surgical conversion was necessary in three cases due to the difficulty of dissection and in one case because of rupture of the ureter. Analgesic prescription was generally only necessary for the first 2 postoperative days. The mean hospital stay was six days (range: 2-16 days). Patients were able to return to work an average of 10 days after the operation. With a mean follow-up of 9 months (range: 6 to 18 months), all patients were asymptomatic except for one patient who reported pain at a trocar site. Follow-up urography at 3 months showed marked improvement in 18 patients (85.7%), moderate pyelocaliceal dilatation in 2 cases and one failure.


CONCLUSIONS
Lumboscopic pyeloplasty is an alternative to endopyelotomy. It provides a comparable success rate to that of conventional surgery, while reducing the morbidity, length of hospital stay and convalescence. However, it requires mastery of intracorporeal suture techniques.
Lachkar
A
A
Service d'Urologie, Hôpital Charles Nicolle, Rouen, France. urologie@chu-rouen.fr
Sibert
L
L
Rozet
F
F
Bugel
H
H
Pfister
C
C
Grise
P
P
D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D007682:Kidney Pelvis; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013577:Syndrome; D014517:Ureteral Obstruction / Q000601:surgery*