Trans-pyeloureteric anastomosis in the management of pelviureteric junction obstruction.
BACKGROUND
The application of pyeloureteric anastomoses in the management of pelviureteric junction obstruction is described.


METHODS
Two patients, one requiring a ureterocystoplasty for bladder augmentation but with a coexistent contralateral pelviureteric junction (PUJ) obstruction and the other with gross hydronephrosis but an atretic ipsilateral ureter, underwent trans-pyeloureteric anastomosis to relieve the obstruction.


RESULTS
Both patients demonstrated satisfactory drainage of the upper tracts on postoperative imaging.


CONCLUSIONS
Transureteropyeloplasty represents a novel and valid technique of urinary tract reconstruction in complex cases of PUJ obstruction.
Anderson
P D
PD
Urology Unit, Royal Children's Hospital, Parkville, Victoria, Australia.
Anticich
N
N
Driver
C
C
Mathew
M
M
Dewan
P A
PA
D000714:Anastomosis, Surgical; D002648:Child; D006801:Humans; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*