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Trans-pyeloureteric anastomosis in the management of pelviureteric junction obstruction

✍ Scribed by P. D. Anderson; N. Anticich; C. Driver; M. Mathew; P. A. Dewan

Publisher: John Wiley and Sons
Year: 2001
Tongue: English
Weight: 721 KB
Volume: 71
Category: Article
ISSN: 1445-1433
DOI: 10.1046/j.1440-1622.2001.02106.x

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✦ Synopsis

Background: The application of pyeloureteric anastomoses in the management of pelviureteric junction obstruction is described.

Methods: Two patients, one requiring a ureterocystoplasty for bladder augmentation but with a coexistent contralateral pelviureteric junction (PUJ) obstruction and the other with gross hydronephrosis but an atretic ipsilateral ureter, underwent trans‐pyeloureteric anastomosis to relieve the obstruction.

Results: Both patients demonstrated satisfactory drainage of the upper tracts on postoperative imaging.

Conclusions: Transureteropyeloplasty represents a novel and valid technique of urinary tract reconstruction in complex cases of PUJ obstruction.

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