Ureteroscopic retrograde endopyelotomy

With improvements in technology, we continue to seek new surgical techniques to approach old surgical issues. Antegrade percutaneous endopyelotomy has become the most common first-line approach to treatment of ureteropelvic junction obstruction, however, it is now possible to treat this condition successfully through a retrograde ureteroscopic approach. By combining the latest small ureteroscopes with the technology of endoluminal ultrasound, it is possible to treat this disease in a single setting without the complications of ureteral strictures or significant postoperative hemorrhage, thereby eliminating the need for a nephrostomy tube and dramatically reducing the morbidity of the procedure.