The Y-V pyeloplasty revisited.

Journal Article

OBJECTIVES: To present a new method of laparoscopic Y-V pyeloplasty to treating ureteropelvic junction (UPJ) stenoses in patients with enlarged renal pelvis. Y-V pyeloplasty for the correction of UPJ stenosis has become well known. Despite its simplicity and good anatomic and functional results, there is no reduction of renal pelvic size and thus Y-V pyeloplasty has not been recommended for treating UPJ stenoses in patients with enlarged renal pelvis. We present a new method of laparoscopic Y-V pyeloplasty that includes simultaneous reduction of the renal pelvis and may extend the use for this procedure. METHODS: A Y-V pyeloplasty, modified by extending the cranial limbs of the Y-shaped incision in an elliptic manner to eliminate redundant pelvic tissue, was used to reduce a hydronephrotic pelvis while widening the UPJ. RESULTS: Three women aged 20-60 years underwent surgery for UPJ with this technique. The postoperative course was uneventful. After 10-43 months of follow-up there has been no evidence of obstruction. CONCLUSIONS: The herein described modification allows extending the use of Y-V pyeloplasty to UPJ stenosis with enlarged renal pelvis.

Full Text

Cited Authors

  • Tsivian, A; Tsivian, M; Sidi, AA

Published Date

  • January 2010

Published In

Volume / Issue

  • 75 / 1

Start / End Page

  • 200 - 202

PubMed ID

  • 19914695

Electronic International Standard Serial Number (EISSN)

  • 1527-9995

International Standard Serial Number (ISSN)

  • 0090-4295

Digital Object Identifier (DOI)

  • 10.1016/j.urology.2009.08.062

Language

  • eng