Ureteroscopic Endopyelotomy at a Single Setting

Conlin, Michael J.; Bagley, Demetrius H.

doi:10.1016/s0022-5347(01)63712-1

Cited by 74 publications

(28 citation statements)

References 19 publications

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“…Therefore, blood supply to the surrounding heated tissue may be damaged. The second advantage of laser is the small diameter and flexibility of laser fibers that enables its passage through small-diameter semirigid and flexible ureteroscopes [5,10].…”

Section: Ureteroscopic Laser Endopyelotomymentioning

confidence: 99%

“…The complications of ureteroscopic endopyelotomy had decreased dramatically in recent series, and they were usually minor in comparison with earlier series [5,40]. The reasons include the improvement of ureteroscopic instruments, such as development of smaller semirigid and flexible ureteroscopes with improved visibility, the utilization of laser energy, increasing experience with the procedure, and exclusion of patients with crossing vessels [21•].…”

Section: Complications Of Ureteroscopic Laser Endopyelotomymentioning

confidence: 99%

“…It could be performed through an ureteroscopic approach or under fluoroscopic guidance [3,4]. The development of smaller semirigid and flexible ureteroscopes and the use of laser energy have enabled ureteroscopic surgery to become a safe and reliable endopyelotomy technique [5]. The Acucise cutting balloon catheter (Applied Medical Resources Corp., Laguna Hills, CA) has enabled incision and dilatation of the UPJO in a retrograde pattern under fluoroscopic guidance [4].…”

Section: Introductionmentioning

confidence: 99%

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Retrograde endopyelotomy: A comparison between laser and acucise balloon cutting catheter

El-Nahas

2007

Curr Urol Rep

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Endopyelotomy and laparoscopic pyeloplasty are the preferred modalities for treatment of ureteropelvic junction obstruction because of their minimally invasive nature. There are continuous efforts for improving endopyelotomy techniques and outcome. Retrograde access represents the natural evolution of endopyelotomy. The Acucise cutting balloon catheter (Applied Medical Resources Corp., Laguna Hills, CA) and ureteroscopic endopyelotomy using holmium laser are the most widely accepted techniques. The Acucise catheter was developed to simplify retrograde endopyelotomy and made it possible for all urologists, regardless of their endourologic skills. The Acucise catheter depends on incision and dilatation of the ureteropelvic junction under fluoroscopic guidance, whereas ureteroscopy allows visual control of the site, depth, and extent of the incision; the holmium laser is a perfect method for a clean precise incision. Review of the English literature showed that the Acucise technique was more widely performed, though laser had better (but not statistically significant) safety and efficacy profiles.

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Section: Ureteroscopic Laser Endopyelotomymentioning

confidence: 99%

Section: Complications Of Ureteroscopic Laser Endopyelotomymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retrograde endopyelotomy: A comparison between laser and acucise balloon cutting catheter

El-Nahas

2007

Curr Urol Rep

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“…The indications and contraindications for this approach are the same for other endourologic approaches, except that a retrograde approach is not recommended in the setting of upper-tract stones. Success rates exceeding 80% are achieved with follow-up as long as 4 years [73,[83][84][85]. Unfortunately, recent studies have shown that with longer follow-up, the success of this approach deteriorates to approximately 65% to 78%, with many patients requiring subsequent procedures to treat recurrence of obstruction [86,87].…”

Section: Endourologic Managementmentioning

confidence: 99%

Renal imaging: what the urologist wants to know

Shah

Taneja

2004

Magnetic Resonance Imaging Clinics of North America

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“…2), a 3F electrocautery probe, or a Holmium laser fiber (Fig. 3), with equally satisfactory outcome (75% to 85% success rate) [34][35][36][37].…”

Section: Retrograde Techniquesmentioning

confidence: 99%

The role of endourology in ureteropelvic junction obstruction

2001

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Endopyelotomy has benefited from abundant confirmatory investigations, and significant progress in different technical modalities has occurred. Retrograde techniques, including the Acucise (Applied Medical, Laguna Hills, CA) cutting balloon and the ureteroscopic Holmium laser incision, are becoming preferred approaches while the other modalities retain their specific indications. Long-term results and potential complications have been carefully studied and reported. Better identification of risk factors has prompted precise preoperative investigations and allowed for careful patient selection, leading to improved results. These results approach those of open pyeloplasty, but with minimal morbidity.

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Ureteroscopic Endopyelotomy at a Single Setting

Abstract: Ureteroscopic endopyelotomy without preoperative stenting is effective and safe for ureteropelvic junction obstruction.

Cited by 74 publications

References 19 publications

Retrograde endopyelotomy: A comparison between laser and acucise balloon cutting catheter

Retrograde endopyelotomy: A comparison between laser and acucise balloon cutting catheter

Renal imaging: what the urologist wants to know

The role of endourology in ureteropelvic junction obstruction

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