The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys.
Publication/Presentation Date
2-1-2011
Abstract
PURPOSE: Data regarding the treatment of ureteropelvic junction obstruction (UPJO) in horseshoe kidneys are limited. We performed a retrospective analysis of our experience with minimally invasive treatment of UPJO in patients with this anomaly.
METHODS: Between March of 1996 and March 2008, 9 patients with horseshoe kidneys were treated for UPJO at our institution. Of these patients, 6 were managed with retrograde endopyelotomy, 2 with laparoscopic pyeloplasty, and one by robotic pyeloplasty. Outcomes of these procedures were retrospectively reviewed.
RESULTS: A total of nine patients were available for analysis. Four of six patients who underwent endopyelotomy had available follow-up, with a mean of 56 months. The success rate for these patients was 75%. Two of three patients (67%) in the laparoscopic/robotic cohort were successfully treated with a mean follow-up of 21 months.
CONCLUSIONS: UPJO in horseshoe kidneys can pose a therapeutic dilemma. The minimally invasive treatment of these patients is feasible with good success rates for both endopyelotomy and laparoscopic/robotic pyeloplasty.
Volume
29
Issue
1
First Page
91
Last Page
95
ISSN
1433-8726
Published In/Presented At
Lallas, C. D., Pak, R. W., Pagnani, C., Hubosky, S. G., Yanke, B. V., Keeley, F. X., & Bagley, D. H. (2011). The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys. World journal of urology, 29(1), 91–95. https://doi.org/10.1007/s00345-010-0523-9
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
20204377
Department(s)
Administration and Leadership
Document Type
Article