Successful Management of Lower-Pole Moiety Ureteropelvic Junction Obstruction in a Partially Duplicated Collecting System Using Minimally Invasive Retrograde Endoscopic Techniques

2000 ◽  
Vol 14 (9) ◽  
pp. 727-730 ◽  
Author(s):  
DIETER BRUNO ◽  
FERNANDO C. DELVECCHIO ◽  
GLENN M. PREMINGER
Keyword(s):  
Minimally Invasive ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Lower Pole ◽  
Successful Management ◽  
Endoscopic Techniques ◽  
Duplicated Collecting System ◽  
Collecting System

scholarly journals A Case of Lower-Pole Moiety Ureteral Stenosis Close to Ureteropelvic Junction in an Incomplete Duplicated Collecting System Managed by Retrograde Balloon Dilatation that Needed a 2nd Ureteral Stent to the Upper-Pole

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Seiichi Saito
Keyword(s):  
Balloon Dilatation ◽  
Ureteral Stent ◽  
Ureteropelvic Junction ◽  
Radiographic Examination ◽  
Stent Insertion ◽  
Lower Pole ◽  
Ureteral Stenosis ◽  
Chief Complaints ◽  
Duplicated Collecting System ◽  
Collecting System

A 71-year-old woman presented at our institution with the chief complaints of left back pain and fatigue. Radiographic examination revealed left ureteral stenosis close to ureteropelvic junction of the lower-pole with a left incomplete duplicated collecting system. Transurethral retrograde balloon dilatation under general anesthesia was performed, and a ureteral stent was inserted to the lower-pole; however, there was urinary leakage from the upper-pole at the dilated ureteral stenosis lesion, and therefore, another ureteral stent was inserted to the upper-pole just after the first stent insertion. Both stents were removed at 6 weeks and subsequent intravenous pyelography confirmed resolution of the obstruction. The patient has remained asymptomatic during 2 years of follow-up.

scholarly journals Unusual Presentation of Duplex Kidneys: Ureteropelvic Junction Obstruction

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Cemile Başdaş ◽  
Süleyman Çelebi ◽  
Seyithan Özaydın ◽  
Birgül Karaaslan ◽  
Elmas Reyhan Alim ◽  
...  
Keyword(s):  
Medical Records ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Lower Pole ◽  
Duplex System ◽  
Age At Surgery ◽  
The Mean ◽  
Duplex Kidneys ◽  
Surgery Management ◽  
Collecting System

Aim. Ureteropelvic junction obstruction (UPJO) is rarely associated with a duplex collecting system. We review this unusual anomaly in terms of presentation, diagnostic evaluation, and surgical management.Method. We retrospectively reviewed the medical records of patients diagnosed with a duplex system with UPJO.Result. Sixteen patients (6 girls, 10 boys) with 18 moieties were treated surgically and four patients were treated conservatively. The median age at surgery was two years (range, 2 months to 7 years). The lower pole and upper moiety were affected in 12 and two kidneys, respectively, and both were affected in two patients. The anomaly was right-sided in 12 moieties and left-sided in six. The duplication was incomplete in seven patients and complete in nine. The mean renal pelvis diameter at the time of surgery was 25.6 (range 11–48 mm) mm by USG. The mean renal function of the involved moiety was 28.3% before surgery. Management included pyelopyelostomy or ureteropyelostomy in six moieties, dismembered pyeloplasty in eight moieties, heminephrectomy in four cases, and simultaneous upper heminephrectomy and lower pole ureteropyelostomy in one patient.Conclusion. There is no standard approach for these patients and treatment should be individualized according to physical presentation, detailed anatomy, and severity of obstruction.

scholarly journals Minimally invasive surgical options for ureteropelvic junction obstruction: A significant step in the right direction

2009 ◽  
Vol 25 (1) ◽  
pp. 27 ◽  
Author(s):  
ChandraShekhar Biyani ◽  
JonJ Cartledge ◽  
AnthonyJ Browning ◽  
AdrianD Joyce ◽  
StephanieJ Symons ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Minimally Invasive Surgical ◽  
Significant Step ◽  
Surgical Options ◽  
The Right
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