Division of Urology, Department of General Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Division of Urology, Department of General Surgery, Rush University Medical Center, Chicago, Illinois, USA.
J Endourol. 2020 Nov;34(11):1112-1119. doi: 10.1089/end.2019.0737. Epub 2020 Mar 17.
Guidelines for the management of pyeloplasty failure remain elusive given the rarity of this condition and the difficulty of integrating and analyzing reported outcomes given the varying definition of failures. In this article, we aim to review the existing literature on risk factors that may influence the surgical outcomes of reconstructive pyeloplasty for ureteropelvic junction obstruction. Furthermore, we discuss management options and review success outcomes of treatment options for patients with pyeloplasty failure.
鉴于这种情况很少见,并且由于失败的定义不同,难以整合和分析报告的结果,因此肾盂成形术失败的管理指南仍然难以捉摸。在本文中,我们旨在回顾有关可能影响输尿管肾盂连接部梗阻重建性肾盂成形术手术结果的危险因素的现有文献。此外,我们讨论了治疗肾盂成形术失败患者的各种选择,并回顾了这些治疗选择的成功结果。