Ureteropelvic junction repair: Planning the approach

UPJ obstruction can be managed routinely with a variety of endourologic options. Multiple factors affect the ultimate outcome of patients undergoing definitive surgical therapy, including length of the obstructing segment, degree of hydronephrosis, degree of renal dysfunction, and presence of anterior crossing lower pole vessels. Proper radiographic imaging preoperatively is essential in planning the most appropriate approach to UPJ repair, understanding that there may more than one reasonable treatment option. Full disclosure providing all available techniques is crucial to allow the patient to make an informed decision as to the most appropriate treatment option.

Duke Scholars

Author Glenn Michael Preminger Urology