Management of secondary pelviureteric junction obstruction.
Pelviureteric junction obstruction (PUJO) of the kidney can lead to a number of different clinical manifestations, which often require surgical intervention. Although the success of pyeloplasty and endopyelotomy are good, there are still a number of patients who fail primary treatment and develop secondary PUJO. These treatment failures can be a challenging cohort to manage. This article aims to provide a comprehensive overview on the surgical options available to the urologist for managing secondary PUJO as well as providing some guidance on assessing factors that will influence management decisions.
Department of Urology, Freeman Hospital, Heaton, Newcastle upon Tyne, NE7 7DN, UK.
Alistair
A
Rogers
Tahseen
T
Hasan
Endopyelotomy; laparoscopic pyeloplasty; pelviureteric junction obstruction; reconstruction