Abstract
Percutaneous endopyeloplasty is a minimally invasive endourological approach to the treatment of ureteropelvic juction obstruction (UPJO). This proceedure incorporates endoscopic suturing through a nephroscope to provide a mucosa-to-mucosa closure of a traditional endopyelotomy incision. Closing the logitudinal endopyelotomy incision in a Heineke-Mikulicz fashion opens the UPJ while limiting urinary extravasation that may decrease the success rate of endopyelotomy alone. Experimental and clinical studies have supported the safety and efficacy of percutaneous endopyeloplasty. Comparatively, in similar patients, percutaneous endopyeloplasty requires a shorter operative time than laparoscopic dismembered pyeloplasty and is relatively simple to perform. Functional results appeal very promising at 1–2 years. Further experience and clinical trials will help determine where this procedure fits into the treatment algorithm for UPJO. We offer percutaneous endopyeloplasty as a primary treatment modality for many patients with UPJO.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Motola JA, Badlani GH, Smith AD. Results of 212 consecutive endopyelotomies: an 8 year followup. J Urol 1993; 149: 453–456.
Van Cangh PJ, Wilmart JF, Opsomer RJ, et al. Long term results and late recurrence after endoreteropyelotomy: a critical analysis of prognostic factors. J Urol 1994; 151: 934–937.
Gupta M, Tuncay OL, Smith AD. Open surgical exploration after failed endopyelotomy: a 12 year perspective. J Urol 1997; 157: 1613–1618.
Bauer JJ, Bischoff JT, Moore RG, Chen RN, Iverson AJ, Kavoussi LR. Laparoscopic versus open pyeloplasty: assessment of objective and subjective outcome. J Urol 1999; 162: 692–695.
Oshinsky GS, Jarrett TW, Smith AD. New technique of managing ureteropelvic junction obstruction: percutaneous endoscopic pyeloplasty. J Endourol 1996; 10: 147–151.
Desai MM, Gill IS, Carvalhal EF, et al. Percutaneous endopyeloplasty: a novel technique. J Endourol 2002; 16: 431–443.
Andreoni C, Lin HK, Olweny E, Ovrby A, Landman J, Clayman RV. Evaluation of healing after electrosurgical endopyelotomy in a porcine model. J Endourol 2000; Supplement, Abstract BS4-5, A13.
Streem SB, Franke JJ, Smith JA. Management of Upper Urinary Tract Obstruction In: Campbell’s Urology, 8th Ed., (Walsh PC, et al. eds.) Saunder’s, Philadelphia, 2002, pp. 463–512.
Gill IS, Desai MM, Kaouk JH, Wani K, Desai MR. Percutaneous endopyeloplasty: description of a new technique. J Urol 2002; 168: 2097–2102.
Desai MM, Desai MR, Gill IS. Percutaneous endopyeloplasty: current clinical status. BJU Int 2005; 95: 106–109.
Desai MM, Desai MR, Gill IS. Endopyeloplasty versus endopyelotomy versus laparoscopic pyeloplasty for primary ureteropelvic junction obstruction. Urology 2004; 64: 16–21.
Sharp DS, Desai MM, Molina WR, et al. Dismembered percutaneous endopyeloplasty: a new procedure. J Endourol 2005; 65: 473–478.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Sharp, D.S., Desai, M.M., Desai, M.R., Gill, I.S. (2006). Percutaneous Endopyeloplasty. In: Nakada, S.Y., Pearle, M.S. (eds) Advanced Endourology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59259-954-7_12
Download citation
DOI: https://doi.org/10.1007/978-1-59259-954-7_12
Publisher Name: Humana Press
Print ISBN: 978-1-58829-446-3
Online ISBN: 978-1-59259-954-7
eBook Packages: MedicineMedicine (R0)