A More “Conventional” Way to Perform Percutaneous Endopyeloplasty: A Feasibility Study

Lezrek, M.; Bazine, K.; Moufid, K; Asseban, Mohammed; Qarro, A.; Alami, M.; Beddouch, A.

doi:10.1016/j.urology.2011.07.1437

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…At a mean up of 4 months, the authors reported 100% success as defined by relief from clinical symptoms and improved drainage on either post procedure excretory urography or diuretic renography [37]. This same group updated their series total to 55 patients in 2007, with reported success of 90% [38]. More recently, Lezrek et al [38] described an endopyeloplasty technique that utilized a laparoscopic needle holder via a nephroscope in 10 consecutive patients.…”

Section: Alternative Percutaneous Uteropelvic Junction Obstruction Pr...mentioning

confidence: 99%

“…This same group updated their series total to 55 patients in 2007, with reported success of 90% [38]. More recently, Lezrek et al [38] described an endopyeloplasty technique that utilized a laparoscopic needle holder via a nephroscope in 10 consecutive patients. Ultimately, endopyeloplasty has not gained much traction in the UPJO management space due to the technical difficulties of endoscopic suturing and the widespread adoption of laparoscopy and robotic systems.…”

Section: Alternative Percutaneous Uteropelvic Junction Obstruction Pr...mentioning

confidence: 99%

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Percutaneous management of ureteropelvic junction obstruction

Kominsky

Johnson

2023

Current Opinion in Urology

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Purpose of reviewThe development of endoscopic and minimally invasive techniques has revolutionized the treatment of ureteropelvic junction obstruction (UPJO). Patients can now undergo successful UPJO repair without the morbidity and complications associated with open surgery. Laparoscopic and robotic repair has supplanted open surgery as the gold standard, but percutaneous endoscopic treatment remains a relevant alternative to more invasive surgery. This review will focus on the percutaneous approach for the treatment of UPJO. Recent findingsPercutaneous endopyelotomy was popularized during the 1980 s due to advances in the field of endourology, allowing for well tolerated and reliable percutaneous access to the kidney. After percutaneous access to the kidney is achieved, the narrowed ureter at the UPJ is incised in a full thickness fashion in the posterolateral position from the ureteral lumen to the periureteral fat. Success rates for this procedure are nearly 90% at high-volume centres. The ideal patient who has success with percutaneous endopyelotomy has a short segment of narrowing less than 2 cm, no crossing vessel, good ipsilateral renal function and mild hydronephrosis.

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Section: Alternative Percutaneous Uteropelvic Junction Obstruction Pr...mentioning

confidence: 99%

Section: Alternative Percutaneous Uteropelvic Junction Obstruction Pr...mentioning

confidence: 99%

Percutaneous management of ureteropelvic junction obstruction

Kominsky

Johnson

2023

Current Opinion in Urology

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“…18 In an updated series of 55 patients, 19 success was 90%. Although a more recent publication from a different group 20 described the technique with the use of a laparoscopic needle holder through the nephroscope, there have been no publications to date on the long-term outcomes of patients who have undergone this procedure. This technique has attained limited traction because of its complexity in suturing and the availability of less cumbersome techniques.…”

Section: Percutaneous Endopyeloplastymentioning

confidence: 99%

Technology Based Treatment for UreteroPelvic Junction Obstruction

Lai

Stewart

Thomas

2017

Journal of Endourology

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Surgical management of ureteropelvic junction obstruction (UPJO) has historically been performed with open pyeloplasty. With the advent of endourology, laparoscopy, and robotics, minimally-invasive techniques have been described and accepted as alternatives to open surgery. Each of these approaches has its own advantages and disadvantages, equipment needs, degree of invasiveness, and experience of the treating urologist. Advocates and critics have their own say as to their preferred technique. In this article, we review the chronological evolution of these techniques and discuss their current role in the management of UPJO.

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