The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys

Costas D. Lallas; Raymond W. Pak; Christopher Pagnani; Scott G. Hubosky; Brent V. Yanke; Frank X. Keeley; Demetrius H. Bagley

doi:10.1007/s00345-010-0523-9

The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys

Costas D. Lallas, Raymond W. Pak, Christopher Pagnani, Scott G. Hubosky, Brent V. Yanke, Frank X. Keeley, Demetrius H. Bagley

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Purpose: Data regarding the treatment of ureteropelvic junction obstruction (UPJO) in horseshoe kidneys are limited. We performed a retrospective analysis of our experience with minimally invasive treatment of UPJO in patients with this anomaly. Methods: Between March of 1996 and March 2008, 9 patients with horseshoe kidneys were treated for UPJO at our institution. Of these patients, 6 were managed with retrograde endopyelotomy, 2 with laparoscopic pyeloplasty, and one by robotic pyeloplasty. Outcomes of these procedures were retrospectively reviewed. Results: A total of nine patients were available for analysis. Four of six patients who underwent endopyelotomy had available follow-up, with a mean of 56 months. The success rate for these patients was 75%. Two of three patients (67%) in the laparoscopic/robotic cohort were successfully treated with a mean follow-up of 21 months. Conclusions: UPJO in horseshoe kidneys can pose a therapeutic dilemma. The minimally invasive treatment of these patients is feasible with good success rates for both endopyelotomy and laparoscopic/robotic pyeloplasty.

Original language	English (US)
Pages (from-to)	91-95
Number of pages	5
Journal	World journal of urology
Volume	29
Issue number	1
DOIs	https://doi.org/10.1007/s00345-010-0523-9
State	Published - Feb 2011
Externally published	Yes

Keywords

Endopyelotomy
Horseshoe kidney
Pyeloplasty
Ureteropelvic junction obstruction

ASJC Scopus subject areas

Urology

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10.1007/s00345-010-0523-9

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title = "The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys",

abstract = "Purpose: Data regarding the treatment of ureteropelvic junction obstruction (UPJO) in horseshoe kidneys are limited. We performed a retrospective analysis of our experience with minimally invasive treatment of UPJO in patients with this anomaly. Methods: Between March of 1996 and March 2008, 9 patients with horseshoe kidneys were treated for UPJO at our institution. Of these patients, 6 were managed with retrograde endopyelotomy, 2 with laparoscopic pyeloplasty, and one by robotic pyeloplasty. Outcomes of these procedures were retrospectively reviewed. Results: A total of nine patients were available for analysis. Four of six patients who underwent endopyelotomy had available follow-up, with a mean of 56 months. The success rate for these patients was 75%. Two of three patients (67%) in the laparoscopic/robotic cohort were successfully treated with a mean follow-up of 21 months. Conclusions: UPJO in horseshoe kidneys can pose a therapeutic dilemma. The minimally invasive treatment of these patients is feasible with good success rates for both endopyelotomy and laparoscopic/robotic pyeloplasty.",

keywords = "Endopyelotomy, Horseshoe kidney, Pyeloplasty, Ureteropelvic junction obstruction",

author = "Lallas, {Costas D.} and Pak, {Raymond W.} and Christopher Pagnani and Hubosky, {Scott G.} and Yanke, {Brent V.} and Keeley, {Frank X.} and Bagley, {Demetrius H.}",

year = "2011",

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doi = "10.1007/s00345-010-0523-9",

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AU - Pak, Raymond W.

AU - Pagnani, Christopher

AU - Hubosky, Scott G.

AU - Yanke, Brent V.

AU - Keeley, Frank X.

AU - Bagley, Demetrius H.

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N2 - Purpose: Data regarding the treatment of ureteropelvic junction obstruction (UPJO) in horseshoe kidneys are limited. We performed a retrospective analysis of our experience with minimally invasive treatment of UPJO in patients with this anomaly. Methods: Between March of 1996 and March 2008, 9 patients with horseshoe kidneys were treated for UPJO at our institution. Of these patients, 6 were managed with retrograde endopyelotomy, 2 with laparoscopic pyeloplasty, and one by robotic pyeloplasty. Outcomes of these procedures were retrospectively reviewed. Results: A total of nine patients were available for analysis. Four of six patients who underwent endopyelotomy had available follow-up, with a mean of 56 months. The success rate for these patients was 75%. Two of three patients (67%) in the laparoscopic/robotic cohort were successfully treated with a mean follow-up of 21 months. Conclusions: UPJO in horseshoe kidneys can pose a therapeutic dilemma. The minimally invasive treatment of these patients is feasible with good success rates for both endopyelotomy and laparoscopic/robotic pyeloplasty.

AB - Purpose: Data regarding the treatment of ureteropelvic junction obstruction (UPJO) in horseshoe kidneys are limited. We performed a retrospective analysis of our experience with minimally invasive treatment of UPJO in patients with this anomaly. Methods: Between March of 1996 and March 2008, 9 patients with horseshoe kidneys were treated for UPJO at our institution. Of these patients, 6 were managed with retrograde endopyelotomy, 2 with laparoscopic pyeloplasty, and one by robotic pyeloplasty. Outcomes of these procedures were retrospectively reviewed. Results: A total of nine patients were available for analysis. Four of six patients who underwent endopyelotomy had available follow-up, with a mean of 56 months. The success rate for these patients was 75%. Two of three patients (67%) in the laparoscopic/robotic cohort were successfully treated with a mean follow-up of 21 months. Conclusions: UPJO in horseshoe kidneys can pose a therapeutic dilemma. The minimally invasive treatment of these patients is feasible with good success rates for both endopyelotomy and laparoscopic/robotic pyeloplasty.

KW - Endopyelotomy

KW - Horseshoe kidney

KW - Pyeloplasty

KW - Ureteropelvic junction obstruction

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The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys

Abstract

Keywords

ASJC Scopus subject areas

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