Antegrade endopyelotomy for treatment of ureteropelvic junction obstruction in transplanted kidneys

Schumacher, Martin; Studer, U E; Danuser, H (2006). Antegrade endopyelotomy for treatment of ureteropelvic junction obstruction in transplanted kidneys. Journal of endourology, 20(5), pp. 305-8. New York, N.Y.: Mary Ann Liebert 10.1089/end.2006.20.305

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BACKGROUND AND PURPOSE: Little is known about the incidence and treatment of ureteropelvic junction (UPJ) obstruction of renal grafts. We report on three cases treated by endopyelotomy. PATIENTS AND METHODS: Graft function declined in three patients 98, 135, and 144 days after kidney transplantation. Acute rejection was excluded by renal biopsy. Ultrasonography revealed a dilated collecting system, and a percutaneous nephrostomy tube was placed. An antegrade nephrostogram showed UPJ obstruction. Percutaneous antegrade endopyelotomy was performed with the cold-knife technique, and the area was stented for 6 weeks using a 14F/8.2F Smith endopyelotomy stent. RESULTS: No intraoperative or postoperative complications occurred. The endopyelotomies were successful, and the creatinine clearances returned to normal. CONCLUSION: Antegrade endopyelotomy in patients with UPJ obstruction of a renal graft is feasible and effective. Normal kidney function was restored after correction of the obstruction.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Studer, Urs

ISSN:

0892-7790

ISBN:

16724899

Publisher:

Mary Ann Liebert

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:46

Last Modified:

05 Dec 2022 14:14

Publisher DOI:

10.1089/end.2006.20.305

PubMed ID:

16724899

Web of Science ID:

000238035600006

URI:

https://boris.unibe.ch/id/eprint/19268 (FactScience: 1763)

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