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Retrograde Treatment of Ureteropelvic Junction Obstruction Using the Ureteral Cutting Balloon Catheter

1997; Lippincott Williams & Wilkins; Volume: 157; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(01)65169-3

1527-3792

Gary J. Faerber, Thomas D. Richardson, Naim Farah, Dana A. Ohl,

Urological Disorders and Treatments

No AccessJournal of UrologyClinical Urology: Original Article1 Feb 1997Retrograde Treatment of Ureteropelvic Junction Obstruction Using the Ureteral Cutting Balloon Catheter Gary J. Faerber, Thomas D. Richardson, Naim Farah, and Dana A. Ohl Gary J. FaerberGary J. Faerber , Thomas D. RichardsonThomas D. Richardson , Naim FarahNaim Farah , and Dana A. OhlDana A. Ohl View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65169-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed the efficacy and safety of a new cutting balloon catheter to treat symptomatic ureteropelvic junction obstruction in adults. Materials and Methods: A total of 32 adults (mean age 40 years, range 18 to 79) underwent retrograde balloon incision for symptomatic ureteropelvic junction obstruction (27 primary and 5 secondary cases). Treatment outcome was based on improvement of symptoms and resolution of obstruction by excretory urography or diuretic renal scintigraphy. Results: A total of 36 retrograde endopyelotomies was performed on 32 patients. Of 4 patients who underwent repeat endopyelotomy 2 had resolution of persistent obstruction. At a mean followup of 14 months (range 3 to 28) 28 of 32 patients (87.5%) were rendered symptom-free and had no obstruction on excretory urography or diuretic renography. Average hospital stay was 1.8 days (range 0 to 6) and the complication rate was 15.6% (postoperative bleeding, fever and ileus). Treatment failed in 4 patients and subsequent open pyeloplasty was successful. Conclusions: Retrograde balloon incision endopyelotomy appears to be a safe and effective treatment for ureteropelvic junction obstruction. References 1 : Obstruction at the ureteropelvic junction.. In: The Ureter. Edited by . New York: Springer-Verlag1981: 697. chapt. 33. 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Google Scholar Section of Urology, Department of Surgery, University of Michigan Medical Center and Veteran's Administration Medical Center, Ann Arbor, Michigan.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTroxel S, Das S, Helfer E and Nugyen M (2018) Laparoscopy Versus Dorsal Lumbotomy for Ureteropelvic Junction Obstruction RepairJournal of Urology, VOL. 176, NO. 3, (1073-1076), Online publication date: 1-Sep-2006.BOVE P, ONG A, RHA K, PINTO P, JARRETT T and KAVOUSSI L (2018) Laparoscopic Management of Ureteropelvic Junction Obstruction in Patients With Upper Urinary Tract AnomaliesJournal of Urology, VOL. 171, NO. 1, (77-79), Online publication date: 1-Jan-2004.GETTMAN M, LOTAN Y, ROERHBORN C, CADEDDU J and PEARLE M (2018) Cost-Effective Treatment for Ureteropelvic Junction Obstruction: A Decision Tree AnalysisJournal of Urology, VOL. 169, NO. 1, (228-232), Online publication date: 1-Jan-2003.REHMAN J, LANDMAN J, SUNDARAM C and CLAYMAN R (2018) MISSED ANTERIOR CROSSING VESSELS DURING OPEN RETROPERITONEAL PYELOPLASTY: LAPAROSCOPIC TRANSPERITONEAL DISCOVERY AND REPAIRJournal of Urology, VOL. 166, NO. 2, (593-596), Online publication date: 1-Aug-2001.GIDDENS J and GRASSO M (2018) RETROGRADE URETEROSCOPIC ENDOPYELOTOMY USING THE HOLMIUM: YAG LASERJournal of Urology, VOL. 164, NO. 5, (1509-1512), Online publication date: 1-Nov-2000.SCHWARTZ B and STOLLER M (2018) COMPLICATIONS OF RETROGRADE BALLOON CAUTERY ENDOPYELOTOMYJournal of Urology, VOL. 162, NO. 5, (1594-1598), Online publication date: 1-Nov-1999.Fuchs G (2018) Editorial: A Coming of Age-Percutaneous Endopyelotomy and a Technique to Watch Out for, that is Ureteroscopic Surgery for Upper Tract Transitional Cell CarcinomaJournal of Urology, VOL. 157, NO. 5, (1620-1621), Online publication date: 1-May-1997. Volume 157Issue 2February 1997Page: 454-458 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.Metrics Author Information Gary J. Faerber More articles by this author Thomas D. Richardson More articles by this author Naim Farah More articles by this author Dana A. Ohl More articles by this author Expand All Advertisement PDF downloadLoading ...