Upper tract access in patients with urinary diversions
Jonathan Modai1, Yasin Bhanji1, Parth M Patel1
1Department of Urology, University of California, Los Angeles, Los Angeles, CA, United States.
Frontiers in Urology
|August 8, 2025
Summary
Urinary tract diversions are common but can cause complications like strictures and stones. Managing these requires understanding different diversion types for effective upper tract access and endoscopic treatment.
Area of Science:
- Urology
- Surgical Reconstruction
Background:
- Urinary tract diversions are essential for lower urinary tract pathologies.
- Complications such as anastomotic strictures and kidney stones can occur.
- Endoscopic management is often preferred but challenging in diverted patients.
Purpose of the Study:
- To review the challenges of upper tract access in patients with urinary diversions.
- To discuss various approaches and techniques for facilitating upper tract access.
- To highlight essential equipment for managing complications in diverted patients.
Main Methods:
- Review of inherent difficulties in accessing the upper urinary tract of diverted patients.
- Analysis of different endoscopic approaches for upper tract access.
- Evaluation of specialized equipment and techniques for improved access.
Main Results:
- Upper tract access in diverted patients presents unique anatomical and technical challenges.
- A fundamental understanding of diverse diversion types is crucial for successful access.
- Specific equipment and tailored techniques can significantly facilitate upper tract procedures.
Conclusions:
- Effective management of urinary diversion complications relies on understanding access challenges.
- Tailored endoscopic strategies are necessary for successful upper tract intervention.
- This review provides insights into facilitating upper tract access in diverted patients.
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