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World Journal of Urology
Published in: World Journal of Urology 1/2011

01-02-2011 | Original Article

The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys

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

Published in: World Journal of Urology | Issue 1/2011

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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.
Literature
1.
Hohenfellner M et al (1992) Tumor in the horseshoe kidney: clinical implications and review of embryogenesis. J Urol 147(4):1098–1102PubMed
2.
Jabbour ME et al (1998) Endopyelotomy for horseshoe and ectopic kidneys. J Urol 160(3 Pt 1):694–697PubMed
3.
Boatman DL, Kolln CP, Flocks RH (1972) Congenital anomalies associated with horseshoe kidney. J Urol 107(2):205–207PubMed
4.
Bauer JJ et al (1999) Laparoscopic versus open pyeloplasty: assessment of objective and subjective outcome. J Urol 162(3 Pt 1):692–695CrossRefPubMed
5.
Chen RN, Moore RG, Kavoussi LR (1998) Laparoscopic pyeloplasty. Indications, technique, and long-term outcome. Urol Clin North Am 25(2):323–330CrossRefPubMed
6.
Weise ES, Winfield HN (2006) Robotic computer-assisted pyeloplasty versus conventional laparoscopic pyeloplasty. J Endourol 20(10):813–819CrossRefPubMed
7.
Yanke BV et al (2008) Robot-assisted laparoscopic pyeloplasty: technical considerations and outcomes. J Endourol 22(6):1291–1296CrossRefPubMed
8.
Pitts WR Jr, Muecke EC (1975) Horseshoe kidneys: a 40-year experience. J Urol 113(6):743–746PubMed
9.
Yohannes P, Smith AD (2002) The endourological management of complications associated with horseshoe kidney. J Urol 168(1):5–8CrossRefPubMed
10.
Das S, Amar AD (1984) Ureteropelvic junction obstruction with associated renal anomalies. J Urol 131(5):872–874PubMed
11.
Van Cangh PJ et al (1996) Vessels around the ureteropelvic junction: significance and imaging by conventional radiology. J Endourol 10(2):111–119CrossRefPubMed
12.
Bove P et al (2004) Laparoscopic management of ureteropelvic junction obstruction in patients with upper urinary tract anomalies. J Urol 171(1):77–79CrossRefPubMed
13.
Chammas M Jr et al (2006) Laparoscopic robotic-assisted management of pelvi-ureteric junction obstruction in patients with horseshoe kidneys: technique and 1-year follow-up. BJU Int 97(3):579–583CrossRefPubMed
14.
Bellman GC, Yamaguchi R (1996) Special considerations in endopyelotomy in a horseshoe kidney. Urology 47(4): 582–585 (discussion 585–586)
15.
Koikawa Y et al (1996) Percutaneous endopyelotomy for ureteropelvic junction obstruction in a horseshoe kidney. Scand J Urol Nephrol 30(2):145–147CrossRefPubMed
16.
Nayyar R, Gupta NP, Hemal AK (2009) Robotic management of complicated ureteropelvic junction obstruction. World J Urol [Epub ahead of print]
Metadata
Title
The minimally invasive management of ureteropelvic junction obstruction in horseshoe kidneys
Authors
Costas D. Lallas
Raymond W. Pak
Christopher Pagnani
Scott G. Hubosky
Brent V. Yanke
Frank X. Keeley
Demetrius H. Bagley
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 1/2011
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-010-0523-9

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