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Endoballoon Rupture and Stenting for Pelviureteric Junction Obstruction: Technique and Early Results
Author(s) -
O'FLYNN K.,
HEHIR M.,
McKELVIE G.,
HUSSEY J.,
STEYN J.
Publication year - 1989
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1989.tb05310.x
Subject(s) - medicine , pyeloplasty , percutaneous , nephrectomy , surgery , renal function , stent , kidney , urinary system , hydronephrosis
Summary— Endoballoon rupture and stenting was performed on 31 patients with pelviureteric junction obstruction. A percutaneous antegrade approach was used in 20 patients, a retrograde technique in 11. Clinical and renographic improvement was seen in 21 patients. Four patients later underwent nephrectomy, all of whom had a GFR of less than 20% in the affected kidney. Endoballoon rupture is technically undemanding, easier and less invasive than endopyelotomy. In patients with adequate renal function it provides a suitable alternative to pyeloplasty.