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 journalArticle

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 languageEnglish (US)
Pages (from-to)91-95
Number of pages5
JournalWorld journal of urology
Volume29
Issue number1
DOIs
StatePublished - 2011
Externally publishedYes

Keywords

  • Endopyelotomy
  • Horseshoe kidney
  • Pyeloplasty
  • Ureteropelvic junction obstruction

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Lallas, C. D., Pak, R. W., Pagnani, C., Hubosky, S. G., Yanke, B. V., Keeley, F. X., & Bagley, D. H. (2011). The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys. World journal of urology, 29(1), 91-95. https://doi.org/10.1007/s00345-010-0523-9