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Collegium antropologicum, Vol.27 - Supplement 1 No.1 June 2003. -

The aim of this study was to present our experience of using four minimally invasive

methods in treatment of pyeloureteral stenosis by percutaneous access. Fifty patients

underwent different percutaneous operative procedures: the Korth-s method, endopyeloureterotomy,

the Fenger-s plastic, and laparoscopic dismembered pyeloplasty. We

classified results into 3 groups outcome good, outcome intermediate, and outcome

poor, depending on clinical improvement and the ultrasonography and diuretic renography

findings six months after the operation. In 30 patients operated on by the method

according to Korth, 23 patients 76.6% had a good outcome, relative improvement

was achieved in 4 patients 13.3%, and in 3 patients 10% the result was poor. In 2 patients

the transpelvic endopyelotomy was performed, and results were good in both

cases. In 11 patients operated on by the percutaneous retroperitoneal pyeloplasty according

to Fenger, the results were good in 72.7% of patients. Two patients were operated

on by the dismembered pyeloplasty, another 2 by the ligature of crossing vessels, and finally

the 3 patients operated on by the retrograde Laser incision on pyeloureteral junction,

all showed good results. Minimal invasion operative methods in the treatment of

pyeloureteral stenosis are safe for the patient and have a good final result.

pyeloureteral stenosis; minimal invasive methods; pyeloplasty

Autor: Nado Vodopija -



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