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Clinical Trial
. 1996 Sep;156(3):1094-7; discussion 1097-8.
doi: 10.1016/s0022-5347(01)65712-4.

Acucise endopyelotomy: assessment of long-term durability

R B Nadler  1 , G S Rao, M S Pearle, S Y Nakada, R V Clayman
Affiliations
Clinical Trial

Acucise endopyelotomy: assessment of long-term durability

R B Nadler et al. J Urol. 1996 Sep.

Abstract

Purpose: We evaluated the long-term efficacy of Acucise endopyelotomy.

Materials and methods: A total of 28 patients with 28 ureteropelvic junction obstructions was reevaluated 2 or more years after Acucise endopyelotomy (mean 32.5 months). Subjective analysis was done with analog pain scales and objective analysis was performed with diuretic renal scintigraphy.

Results: Subjective followup was available for all 28 patients, and 17 (61%) had a favorable response with 36% totally free of pain and 25% markedly improved. Among 26 patients with objective followup (93%) 21 (81%) had a patient ureteropelvic junction based on a diuretic renal scan with a half-time of less than 10 minutes or a normal Whitaker test. Among all regularly followed patients failure occurred uniformly within 1 year.

Conclusions: Acucise endopyelotomy is an effective and durable method for treating ureteropelvic junction obstruction.

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