Laser endoureterotomy and endopyelotomy: an update
Esteban Emiliani1, Alberto Breda
1Fundación Puigvert, Universitat Autonoma de Barcelona, Carrer Cartagena 340-350, 08025, Barcelona, Spain, emiliani@gmail.com.
World Journal of Urology
|September 24, 2014
Summary
Endoscopic treatments like laser endoureterotomy and endopyelotomy offer good success rates for ureteral strictures with low evidence. These minimally invasive options are suitable for select patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Minimally invasive surgery is a primary treatment for ureteral strictures.
- Controversies exist regarding the optimal surgical method for ureteral strictures.
Purpose of the Study:
- To evaluate the evidence for endoscopic treatments of ureteropelvic junction (UPJ) and ureteral strictures.
- To define the level of evidence for laser endoureterotomy and endopyelotomy.
Main Methods:
- Literature review of PubMed database up to May 2014.
- Focused on laser endoureterotomy and endopyelotomy for UPJ and ureteral strictures.
Main Results:
- The evidence level for endoscopic treatment of UPJ and ureteral strictures is low.
- Endoureterotomy and endopyelotomy, primarily using Ho:YAG laser, demonstrate high success rates.
- These procedures are associated with minimal perioperative morbidity.
Conclusions:
- Laser endoureterotomy and endopyelotomy are viable treatment options for specific patient groups.
- Endoscopic management of ureteral strictures should be considered for selected individuals.
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