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Acucise endopyelotomy: A technique with limited efficacy for primary ureteropelvic junction obstruction in adults
Author(s) -
WEIKERT STEFFEN,
CHRISTOPH FRANK,
MÜLLER MARKUS,
SCHOSTAK MARTIN,
MILLER KURT,
SCHRADER MARK
Publication year - 2005
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2005.01161.x
Subject(s) - medicine , hydronephrosis , ureteropelvic junction , pyeloplasty , surgery , renal function , intravenous urography , nephrectomy , stent , pyelogram , radiology , urinary system , kidney
Aim: To retrospectively evaluate the efcacy of Acucise endopyelotomy in a series of patients with primary ureteropelvic junction obstruction (UPJO). Methods: Twenty‐four patients with a symptomatic primary UPJO underwent Acucise endopyelotomy. Patients with high‐grade hydronephrosis and/or poor renal function were excluded. Patients were followed by ultrasound imaging, intravenous urography, diuretic renography, and clinical review. Results: The overall success rate was 58% (14/24 patients), with a median follow up of 32 months. Of the ten patients in whom Acucise endopyelotomy failed, seven underwent open pyeloplasty, one required nephrectomy, and two received a permanent ureteral stent. A poor outcome was noted in patients without perioperative extravasation. Conclusions: Our experience with Acucise endopyelotomy indicates that the success rate is lower than initially reported. Larger studies are needed to clarify the role of Acucise endopyelotomy in comparison with other techniques.