[Posterior vertical lumbar approach in the treatment of pyelo-ureteral junction syndromes in the adult]

Abstract

Posterior vertical lumbar incision is an alternative incision for the treatment of hydronephrosis due to ureteropelvic junction anomaly in adults. The authors have performed 18 pyeloplasties via this incision in adults between the ages of 19 and 72 years (mean 36 years). The results of pyeloplasty (88% success rate) were comparable to those obtained via other incisions. The operating time varied between 50 and 110 minutes (mean: 75 minutes) and the mean hospital stay was of the order of one week. The morbidity was low and essentially consisted of parietal complications such as hypoaesthesia or hypotonia. The technique is simple to perform provided the contraindications, especially those related to patient anatomy, are respected.