Tips for Laser Endopyelotomy 1. Incision of the UPJ is easier to perform as the ureteroscope is withdrawn from the renal pelvis, across the UPJ. The optimal holmium laser settings to incise the UPJ are either 1 J at 15 Hz or 1 J at 20 Hz.
What is Ureterocalicostomy?
Ureterocalicostomy (UCO) is a procedure used to anastomose nondilated healthy ureter proximal to the lower calyceal system, which is exposed via amputation of the most dependent portion of the lower pole of the kidney, in order to bypass severe peripelvic fibrosis with a ureteropelvic junction (UPJ) obstruction or a …
What does Transureteroureterostomy mean?
Transureteroureterostomy (TUU) is a urinary reconstruction technique that is used to join one ureter to the other across the midline (see image below). It offers patients with distal ureteral obstruction an option to live without external urostomy appliances or internal urinary stents.
What is psoas hitch procedure?
A psoas hitch is a method of ureteric re-implantation following distal ureteric resection or injury. The reconstruction is indicated when the distal ureter is injured or resected for cancer or stricture disease, and the remaining portion of ureter cannot reach the bladder for a ureteroneocystotomy.
How is urethrocele treated?
To do Kegel exercises, simply contract and release the pelvic muscles repeatedly. These are the same muscles that control the flow of urine. Surgery – In some severe cases, urethrocele may be treated with surgery, in which the supporting structure surrounding the urethra is repaired.
Can you live with a ureterocele?
A ureterocele can be treated and your child can go on to live a normal life. Treatment is also possible if the defect is not discovered until adulthood.
What kind of incision is used for endopyelotomy?
Endopyelotomy, in which a full-thickness incision is carried through the narrowed segment from normal ureter proximally into normal ureter distally, can be accomplished via a single-stage antegrade or retrograde approach using a cold knife, electrosurgical probe, or holmium laser.
What happens to the kidneys after an endopyelotomy?
This could lead to kidney tissue damage, formation of stones, infection, high blood pressure, deterioration of kidney function and eventually kidney failure. Endopyelotomy is a popular procedure to relieve all these symptoms.
Do You need A nephrostomy tube after endopyelotomy?
A nephrostomy tube, which is placed in the patient’s side to drain urine, may also be needed for a short time after the surgery. This type of tube may also used to treat severe infections before surgery. Early diagnosis and treatment of UPJ obstruction may help preserve future kidney function.
What is the success rate of a percutaneous endopyelotomy?
With percutaneous endopyelotomy, patients can expect up to a 90% success rate with little morbidity and minor disability. UPJ obstruction generally occurs when a baby is still growing in the womb. This is called a congenital condition (present from birth).