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Retrograde Acucise endopyelotomy: long-term results
E Lechevallier1, C Eghazarian, J C Ortega
1Service d'Urologie, Hôpital Salvator, Université de la Méditerranée, Marseille, France. elc@aix.pacwan.net
Journal of Endourology
|December 22, 1999
Summary
Retrograde endopyelotomy using the Acucise cutting balloon offers an effective long-term solution for ureteropelvic junction obstruction (UPJO). This minimally invasive treatment demonstrates good success rates and low morbidity, making it a viable first-line option.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Endourology
Background:
- Ureteropelvic junction obstruction (UPJO) is a common cause of upper urinary tract obstruction.
- Traditional treatments for UPJO can be invasive.
- Endopyelotomy offers a less invasive alternative.
Purpose of the Study:
- To assess the long-term efficacy and outcomes of retrograde endopyelotomy with the Acucise cutting balloon.
- To evaluate this technique as a primary treatment for UPJO.
Main Methods:
- A cohort of 36 patients with UPJO underwent retrograde endopyelotomy using the Acucise cutting balloon.
- Median follow-up was 24 months.
- Success was defined by subjective and objective improvement.
Main Results:
- An overall success rate of 75% was achieved.
- The presence of a crossing vessel was a significant negative predictor of success (45% vs. 81%).
- Success rates for primary and secondary UPJO were similar (74% and 77%).
Conclusions:
- Retrograde Acucise endopyelotomy is an effective and durable treatment for UPJO.
- The procedure is associated with low morbidity.
- It represents a reasonable first-line therapeutic option for UPJO.