title: Laparoscopic anterior y-v pyeloplasty: a valuable treatment option in patients with small or intrarenal pelvis.
abstract: The aim of the study was to describe the technique of modified laparoscopic Foley Y-V pyeloplasty-anterior Y-V plasty and the results of the operation in the authors' material. In the modified operation, a V-shaped flap is created from the anterior wall of the renal pelvis. Thus two lines of sutures are located on the anterior, easily accessible wall of the renal pelvis. Thirty-six patients were operated on using this technique from May 2005 to January 2009. One patient did not turn up for the follow-up. Complete success was observed in 34 of 35 patients (97.1%). The mean follow-up time was 24 (4-43) months. The mean operative time was 160 minutes. We did not observe any serious complications in the postoperative period. Our results seem to indicate that the anterior Y-V plasty may constitute a reasonable treatment option for patients with small or intrarenal pelvis and no dorsally crossing vessels.
authors.affiliation: Department of Urology and Urological Oncology, Wrocław University of Medicine , Wrocław, Poland. szydelko@urol.am.wroc.pl
authors.forename: Tomasz
authors.initials: T
authors.lastname: Szydełko
authors.forename: Jarosław
authors.initials: J
authors.lastname: Kasprzak
authors.forename: Wojciech
authors.initials: W
authors.lastname: Apoznański
authors.forename: Romuald
authors.initials: R
authors.lastname: Zdrojowy
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D010535:Laparoscopy; D008875:Middle Aged; D013524:Surgical Flaps; D013536:Suture Techniques; D014517:Ureteral Obstruction / Q000601:surgery*; D055815:Young Adult