Anderson P D, Anticich N, Driver C, Mathew M, Dewan P A
Urology Unit, Royal Children's Hospital, Parkville, Victoria, Australia.
ANZ J Surg. 2001 May;71(5):281-4. doi: 10.1046/j.1440-1622.2001.02106.x.
The application of pyeloureteric anastomoses in the management of pelviureteric junction obstruction is described.
Two patients, one requiring a ureterocystoplasty for bladder augmentation but with a coexistent contralateral pelviureteric junction (PUJ) obstruction and the other with gross hydronephrosis but an atretic ipsilateral ureter, underwent trans-pyeloureteric anastomosis to relieve the obstruction.
Both patients demonstrated satisfactory drainage of the upper tracts on postoperative imaging.
Transureteropyeloplasty represents a novel and valid technique of urinary tract reconstruction in complex cases of PUJ obstruction.