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Ureterocalycostomy - final resort in the management of secondary pelvi-ureteric junction obstruction: our experience.

Gite VA, Siddiqui AK, Bote SM, Patil SR, Kandi AJ, Nikose JV - Int Braz J Urol (2016 May-Jun)

Bottom Line: In our study, one child and two adults in whom one redo-ureterocalycostomy and two ureterocalycostomies were performed for severely scarred PUJ.The causes for secondary PUJ obstruction were post-pyelolithotomy in one case, post-pyeloplasty and ureterocalycostomy for PUJ obstruction in the second patient and the third patient had long upper ureteric stricture post-ureteropyeloplasty due to tuberculosis.In all these cases ureterocalycostomy proved to be salvage/final resort for preserving functional renal unit.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Grant Govt. Medical College & Sir J.J. Group of Hospitals, Mumbai -Mumbai, India.

ABSTRACT
Ureterocalycostomy can be performed in patients in whom desired methods of treating secondary PUJ (Pelvi-Ureteric Junction) obstructions either failed or could not be used. In our study, one child and two adults in whom one redo-ureterocalycostomy and two ureterocalycostomies were performed for severely scarred PUJ. The causes for secondary PUJ obstruction were post-pyelolithotomy in one case, post-pyeloplasty and ureterocalycostomy for PUJ obstruction in the second patient and the third patient had long upper ureteric stricture post-ureteropyeloplasty due to tuberculosis. In all these cases ureterocalycostomy proved to be salvage/final resort for preserving functional renal unit.

No MeSH data available.


Related in: MedlinePlus

Follow-up IVP-adequate drainage across anastomosis.
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f05: Follow-up IVP-adequate drainage across anastomosis.

Mentions: Three patients underwent ureterocalycostomy, out of which one had redo-ureterocalycostomy. Demographic profile is shown in Table-1. Two patients underwent primary procedures in other centres and one patient in our centre by general surgery unit before referring to Urology unit. One patient was primarily treated for pelvic stone with total intrarenal pelvis, one for PUJ obstruction and one for left upper ureteric stricture secondary to tuberculosis. Pre operative profile is shown in Table-2. All three patients were asymptomatic till last follow-up (1 case after 3 times change of stent every 3 months) with objective evidence of obstruction relief (Figure-5) (Table-3).


Ureterocalycostomy - final resort in the management of secondary pelvi-ureteric junction obstruction: our experience.

Gite VA, Siddiqui AK, Bote SM, Patil SR, Kandi AJ, Nikose JV - Int Braz J Urol (2016 May-Jun)

Follow-up IVP-adequate drainage across anastomosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4920567&req=5

f05: Follow-up IVP-adequate drainage across anastomosis.
Mentions: Three patients underwent ureterocalycostomy, out of which one had redo-ureterocalycostomy. Demographic profile is shown in Table-1. Two patients underwent primary procedures in other centres and one patient in our centre by general surgery unit before referring to Urology unit. One patient was primarily treated for pelvic stone with total intrarenal pelvis, one for PUJ obstruction and one for left upper ureteric stricture secondary to tuberculosis. Pre operative profile is shown in Table-2. All three patients were asymptomatic till last follow-up (1 case after 3 times change of stent every 3 months) with objective evidence of obstruction relief (Figure-5) (Table-3).

Bottom Line: In our study, one child and two adults in whom one redo-ureterocalycostomy and two ureterocalycostomies were performed for severely scarred PUJ.The causes for secondary PUJ obstruction were post-pyelolithotomy in one case, post-pyeloplasty and ureterocalycostomy for PUJ obstruction in the second patient and the third patient had long upper ureteric stricture post-ureteropyeloplasty due to tuberculosis.In all these cases ureterocalycostomy proved to be salvage/final resort for preserving functional renal unit.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Grant Govt. Medical College & Sir J.J. Group of Hospitals, Mumbai -Mumbai, India.

ABSTRACT
Ureterocalycostomy can be performed in patients in whom desired methods of treating secondary PUJ (Pelvi-Ureteric Junction) obstructions either failed or could not be used. In our study, one child and two adults in whom one redo-ureterocalycostomy and two ureterocalycostomies were performed for severely scarred PUJ. The causes for secondary PUJ obstruction were post-pyelolithotomy in one case, post-pyeloplasty and ureterocalycostomy for PUJ obstruction in the second patient and the third patient had long upper ureteric stricture post-ureteropyeloplasty due to tuberculosis. In all these cases ureterocalycostomy proved to be salvage/final resort for preserving functional renal unit.

No MeSH data available.


Related in: MedlinePlus