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Ureteropelvic Junction Obstruction

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Ureteroscopy

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Ureteropelvic junction obstruction (UPJO) is defined as a functional impairment of urine flow from the renal pelvis to the ureter. Whatever the cause, UPJO warrants prompt attention to alleviate symptoms and to prevent deterioration of renal function, development of stones, urinary tract infection, and, albeit rarely, hypertension. When intervention is indicated, open dismembered pyeloplasty has historically been the gold standard. However, with the advancements in endourological instrumentation, the direction has shifted toward minimally invasive procedures such as endopyelotomy (antegrade and retrograde), laparoscopic pyeloplasty, and robotic pyeloplasty. Adherence to strict endourological principles and direct visualization make retrograde ureteroscopic endopyelotomy a safe and effective treatment option for patients with UPJO. The ureteroscopic approach has a short learning curve, and can be performed in almost all general hospitals where ureteroscopy is performed. As ureteroscopic instruments are evolving, the trend will continue to favor minimally invasive techniques, and retrograde ureteroscopic endopyelotomy will remain a significant treatment option in the management of well-selected patients with UPJO.

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Authors and Affiliations

  1. Department of Urology, New York Presbyterian Hospital, New York Presbyterian Kidney Stone Center, Columbia University Medical Center, 161 Fort Washington Avenue 11th floor, New York, NY, 10036, USA

    Mantu Gupta & Doh Yoon Cha

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  1. Mantu Gupta
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  2. Doh Yoon Cha
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Correspondence to Mantu Gupta .

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Editors and Affiliations

  1. Glickman Urological & Kidney Institute, Department of Urology, The Cleveland Clinic, 2842 Fontenay Road, Cleveland, 44120, Ohio, USA

    Manoj Monga

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Gupta, M., Cha, D.Y. (2013). Ureteropelvic Junction Obstruction. In: Monga, M. (eds) Ureteroscopy. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-206-3_4

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  • DOI: https://doi.org/10.1007/978-1-62703-206-3_4

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-205-6

  • Online ISBN: 978-1-62703-206-3

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