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. 2013 Oct;29(4):294-302.
doi: 10.4103/0970-1591.120110.

Management of secondary pelviureteric junction obstruction

Alistair Rogers  1 , Tahseen Hasan
Affiliations

Management of secondary pelviureteric junction obstruction

Alistair Rogers et al. Indian J Urol. 2013 Oct.

Abstract

Pelviureteric junction obstruction (PUJO) of the kidney can lead to a number of different clinical manifestations, which often require surgical intervention. Although the success of pyeloplasty and endopyelotomy are good, there are still a number of patients who fail primary treatment and develop secondary PUJO. These treatment failures can be a challenging cohort to manage. This article aims to provide a comprehensive overview on the surgical options available to the urologist for managing secondary PUJO as well as providing some guidance on assessing factors that will influence management decisions.

Keywords: Endopyelotomy; laparoscopic pyeloplasty; pelviureteric junction obstruction; reconstruction.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Flow chart algorithm for assessment and treatment of patients with secondary pelviureteric junction obstruction
Figure 2
Figure 2
Utilisation of accusize endopyelotomy in the treatment of secondary pelviureteric junction obstruction. The patient had an open pyeloplasty 10 years previously. The markers signifying the proximal and distal extent of the cutting balloon can be clearly seen
Figure 3
Figure 3
Reconstructive options in the management of primary and secondary pelviureteric junction obstruction. Variations in anatomy may require different surgical techniques. (1) Foley V-Y plasty (2) Culp-deWeerd spiral pyeloplasty (3) Anderson-Hynes dismembered pyeloplasty (4) Uretero-calicostomy
See this image and copyright information in PMC

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