Successful management of lower-pole moiety ureteropelvic junction obstruction in a partially duplicated collecting system using minimally invasive retrograde endoscopic techniques.
Although the true incidence of ureteropelvic junction (UPJ) obstruction in the lower-pole moiety of an incompletely duplicated renal collecting system remains elusive, the description of this entity in the published literature is exceedingly rare. To our knowledge, we report the first case of this entity managed successfully by ureteroscopic holmium laser incision of the stenotic UPJ segment. This case underscores the utility of minimally invasive techniques in the management of selected cases of UPJ obstruction associated with a partially duplicated collecting system.
Bruno
D
D
Comprehensive Kidney Stone Center, Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Delvecchio
F C
FC
Preminger
G M
GM
D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D007682:Kidney Pelvis / Q000000981:diagnostic imaging / Q000601:surgery; D007685:Kidney Tubules, Collecting / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000295:instrumentation; D015607:Stents; D014513:Ureter / Q000000981:diagnostic imaging / Q000601:surgery; D014517:Ureteral Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods*; D014567:Urography