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[Anterograde transpelvic endopyelotomy]

M Gallucci1, M Mauro, L Nesci

  • 1Divisione di Urologia, Ospedale Cristo Re, Roma.

Chirurgia Italiana
|January 1, 1996
PubMed
Summary

This study presents an antegrade endopyelotomy technique for ureteropelvic junction obstruction, achieving good results in 80% of patients. The minimally invasive approach offers a viable alternative to open surgery.

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Area of Science:

  • Urology
  • Endourology
  • Surgical Techniques

Background:

  • Primary ureteropelvic junction obstruction requires effective treatment.
  • Traditional open surgery can be invasive.
  • Endourologic approaches offer potential benefits.

Purpose of the Study:

  • To describe a novel antegrade endopyelotomy technique.
  • To evaluate its efficacy in treating ureteropelvic junction obstruction.
  • To assess its suitability for pediatric patients and cases with anomalous vessels.

Main Methods:

  • Percutaneous access via the lower calix.
  • Wide opening of the renal pelvis and peripelvic space exploration.
  • Performing endopyelotomy with an unrestricted view and without large-stent requirement.

Main Results:

  • Successful treatment in 80% of 46 patients (aged 5-62 years).
  • Good outcomes demonstrated in follow-up.
  • Feasibility in pediatric cases and those with anomalous vessels.

Conclusions:

  • Antegrade transpelvic endopyelotomy is an effective endourologic procedure.
  • It offers results and feasibility comparable to open surgery.
  • This technique provides a minimally invasive option for ureteropelvic junction obstruction.

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