Surgical management of ureteropelvic junction obstruction in adults

Abstract

Ureteropelvic junction (UPJ) obstruction is a well-recognized entity that may present at any time - in fetal life, infancy, childhood, or early or late adulthood. As the most common site of obstruction in the upper urinary tract, the UPJ is an area with which urologists should be well familiar. There has been an improved understanding of the pathophysiology of primary congenital UPJ obstruction that has been reflected in the evolution of surgical options, from open surgical repair to minimally invasive surgery. Although the primary scope of this review is the surgical management of this condition, we will briefly review the pathogenesis, clinical presentation, and diagnosis of UPJ obstruction.

Comparative Study of Dismembered and Non-Dismembered Pyeloplasty

“…All the patients under the age of 10 were males. This finding is consistent with other case series' 8,10,11 In this study about 90% of patients complained of pain at the time of presentation Nausea and/or vomiting was the prime complaint of many patients. Patients who underwent dismembered pyeloplasty had nausea and vomiting as their presenting complaint.…”

“…The aim of the study is to compare non-dismembered pyeloplasty with dismembered pyeloplasty. Our observations and results were discussed and compared with other studies on the similar lines 8,9,10,11 . In my study youngest patient was 1 month old while the oldest one was 45 years old.…”

Multimodality imaging spectrum of complications of horseshoe kidney

“…[2526] The basic principle is PUJ reconstruction with resection of any strictured segment and corrective insertion of pelvis into the most dependent part of kidney. [27] This helps to promote pelvic emptying as well as takes care of any structural obstruction including strictures. Midline transperitoneal approach can be used if surgical reconstruction is planned on both sides.…”

Laparoscopic Transperitoneal Pyeloplasty

“…2). 7 This complete reconstruction of the UPJ allows transposition of the UPJ in front of any anterior crossing vessels, if present. It allows easy tapering of the renal pelvis if that is deemed necessary (although the renal pelvis can be tapered during a nondismembered repair as well).…”