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Review
. 2017;19(4):261-264.
doi: 10.3909/riu0781.

Ureteropelvic Junction Obstruction in Adults

James F Borin  1
Affiliations
Review

Ureteropelvic Junction Obstruction in Adults

James F Borin. Rev Urol. 2017.
No abstract available

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Figures

Figure 1.
Figure 1.
Renal ultrasound left kidney transverse (A) and sagittal (B) views, showing moderate hydronephrosis with slight parenchymal thinning.
Figure 2.
Figure 2.
Noncontrast computed tomography scan, axial (A) and coronal (B) slices demonstrating left hydronephrosis with preservation of parenchymal thickness.
Figure 3.
Figure 3.
Retrograde pyelogram showing moderate hydronephrosis with blunted calyces. The red arrow depicts an area of stenosis likely caused by external compression from crossing vessels.
Figure 4.
Figure 4.
Ureteropelvic junction (UPJ) with anterior crossing vessels to the lower pole.
Figure 5.
Figure 5.
Ureteropelvic junction dismembered with renal pelvis transposed anterior to the crossing vasculature, in preparation for anastomosis.
See this image and copyright information in PMC

References

    1. Khan F, Ahmed K, Lee N, et al. Management of ureteropelvic junction obstruction in adults. Nat Rev Urol. 2014;11:629–638. - PubMed
    1. Nishi M, Matsumoto K, Fujita T, Iwamura M. Improvement in renal function and symptoms of patients treated with laparoscopic pyeloplasty for ureteropelvic junction obstruction with less than 20% split renal function. J Endourol. 2016;30:1214–1218. - PubMed
    1. Oberlin DT, McGuire BB, Pilecki M, et al. Contemporary national surgical outcomes in the treatment of ureteropelvic junction obstruction. Urology. 2015;85:363–367. - PubMed
    1. Jacobs BL, Lai JC, Seelam R, et al; Urologic Diseases in America Project. The comparative effectiveness of treatments for ureteropelvic junction obstruction [published online September 21, 2017]. Urology. doi: 10.1016/j.urology.2017.09.002. - PMC - PubMed

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