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Related Experiment Videos

Percutaneous pyelolysis.

J E Wickham, M J Kellet

    European Urology
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    A new percutaneous technique modified the Davis intubated ureterostomy for pelvi-ureteric junction obstruction. This minimally invasive approach established good drainage in two of three patients treated.

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    Area of Science:

    • Urology
    • Minimally Invasive Surgery
    • Endourology

    Background:

    • Pelvi-ureteric junction (PUJ) obstruction is a common cause of congenital hydronephrosis.
    • Traditional surgical repair can be invasive.
    • A minimally invasive approach is desirable.

    Observation:

    • A percutaneous modification of the Davis intubated ureterostomy was applied to three patients with PUJ obstruction.
    • A 10-French tube was inserted via percutaneous nephrostomy into the obstructed upper ureter.
    • Endoscopic incision of the upper ureter and PUJ was performed using a urethrotome.

    Findings:

    • The splint tube and nephrostomy tube remained in place for one month.
    • Good urinary drainage was achieved in two out of the three treated patients after tube removal.

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  • The technique shows promise for treating PUJ obstruction.

    • Implications:

    • This percutaneous technique offers a less invasive alternative for PUJ obstruction management.
    • Further studies are warranted to evaluate long-term efficacy and patient outcomes.
    • This approach may reduce patient morbidity associated with open surgery.