Editor's Comment

Abstract

International Braz J UrolThe January -February 2003 issue of the International Braz J Urol presents important contributions from different countries, and the Editor will highlight some important papers. Doctors Kausik and Segura, from Mayo Medical School, Rochester, Minnesota, USA, presented on page 3 a comprehensive discussion on the surgical management of ureteropelvic junction obstruction in adults, from open surgical repair to minimally invasive surgery. The authors discussed the surgical approaches for correcting UPJ obstruction considering 3 categories: 1) Open surgical procedures, including Dismembered pyeloplasty, Culp-DeWeerd spiral flap, Foley Y-V plasty, Scardino-Prince vertical flap, and Ureterocalycostomy; 2) Endoscopic (antegrade or retrograde) procedures; and 3) Laparoscopic procedures. The authors concluded that although the gold standard is still the open dismembered pyeloplasty, with success rates of 90-95%, the trend toward decreasing morbidity and hospitalization, endoscopic management, and laparoscopy have come to the forefront.