Dismembered Pyeloplasty With and Without After Coming.

Conclusion These results suggest that a loin wound is not necessary for a successful outcome after dismembered pyeloplasty, and that in expert hands laparoscopic dismembered pyeloplasty should now.

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Dismembered pyeloplasty is the method of choice, if a crossing vessel is identified as cause for the UPJ obstruction, and probably for most other indications. Traction sutures are placed at the renal pelvis. Excision of the UPJ obstruction is done with, if necessary, excision of excess renal pelvis (reduction pyeloplasty).

Open pyeloplasty (dismembered, non-dismembered), antegrade or retrograde endoscopic procedures (endopyelotomy, acucise catheter incision, balloon dilatation), and transperitoneal or retroperitoneal laparoscopic procedures with or without robotic or hand-assist techniques (dismembered Anderson-Hynes, Foley Y-V plasty, Fenger pyeloplasty) are used in the surgical management of UPJO (2,3,5-14).

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The surgical management of uretero-pelvic junction obstruction has undergone revolutionary changes over the past few years. Traditionally, open retroperitoneal dismembered reduction pyeloplasty has been considered as the treatment of choice for uretero-pelvic junction obstruction with high success rates of over 95%.1 However the.

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The dismembered type of pyeloplasty (called an Anderson-Hynes pyeloplasty) is the most common type of pyeloplasty. This was described in relation to retrocaval ureter (now renamed as preureteric vena cava). Another technique of pyeloplasty is Culp's pyeloplasty; in this method a flap is rotated from dilated pelvis to decrease narrowing of ureter.

A total of 50 patients underwent robotic-assisted laparoscopic dismembered pyeloplasty. A four-trocar technique was used. Most patients were discharged home on day 1, with stent removal at 3 weeks.