Endopyelotomy: Experience with 320 cases

A. Munim Khan, E. Holman, I. Pásztor, Cs Tóth

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

We were the first to initiate endopyelotomy in Hungary (in 1986) and in Yemen and Pakistan (in 1993). Through the end of 1995, 320 cases of ureteropelvic junction (UPJ) stenosis have been operated upon. The procedure was performed under local anesthesia in adult patients and general anesthesia in children. The minimum age of the patient was 4 years, while the oldest patient was 80 years of age. The UPJ was incised longitudinally at the posterolateral aspect until the perinephric fat was seen, and a drain of 8F to 12F was inserted transrenally into the ureter through a nephroscope. Patients soon left the hospital and were able to start working in 5 days (average). The drain was removed after 6 weeks. During the follow-up period, ultrasonic examination was performed each 3 months. The success rate (mean of three centers) came out to be 87%. Open pyeloplasty was performed in cases where the symptoms of pyelectasia were persisting and caused complaints and stenosis was present even after 6 months. In our opinion, endopyelotomy should be the procedure of first choice for UPJ stenosis, because it is less troublesome for the patient than open pyeloplasty, and the results are real encouraging.

Original languageEnglish
Pages (from-to)243-246
Number of pages4
JournalJournal of Endourology
Volume11
Issue number4
Publication statusPublished - Aug 1997

Fingerprint

Pathologic Constriction
Yemen
Hungary
Pakistan
Local Anesthesia
Ureter
Ultrasonics
General Anesthesia
Fats

ASJC Scopus subject areas

  • Urology

Cite this

Munim Khan, A., Holman, E., Pásztor, I., & Tóth, C. (1997). Endopyelotomy: Experience with 320 cases. Journal of Endourology, 11(4), 243-246.

Endopyelotomy : Experience with 320 cases. / Munim Khan, A.; Holman, E.; Pásztor, I.; Tóth, Cs.

In: Journal of Endourology, Vol. 11, No. 4, 08.1997, p. 243-246.

Research output: Contribution to journalArticle

Munim Khan, A, Holman, E, Pásztor, I & Tóth, C 1997, 'Endopyelotomy: Experience with 320 cases', Journal of Endourology, vol. 11, no. 4, pp. 243-246.
Munim Khan A, Holman E, Pásztor I, Tóth C. Endopyelotomy: Experience with 320 cases. Journal of Endourology. 1997 Aug;11(4):243-246.
Munim Khan, A. ; Holman, E. ; Pásztor, I. ; Tóth, Cs. / Endopyelotomy : Experience with 320 cases. In: Journal of Endourology. 1997 ; Vol. 11, No. 4. pp. 243-246.
@article{cdd84985bc484b95b8dd6049d2dace8e,
title = "Endopyelotomy: Experience with 320 cases",
abstract = "We were the first to initiate endopyelotomy in Hungary (in 1986) and in Yemen and Pakistan (in 1993). Through the end of 1995, 320 cases of ureteropelvic junction (UPJ) stenosis have been operated upon. The procedure was performed under local anesthesia in adult patients and general anesthesia in children. The minimum age of the patient was 4 years, while the oldest patient was 80 years of age. The UPJ was incised longitudinally at the posterolateral aspect until the perinephric fat was seen, and a drain of 8F to 12F was inserted transrenally into the ureter through a nephroscope. Patients soon left the hospital and were able to start working in 5 days (average). The drain was removed after 6 weeks. During the follow-up period, ultrasonic examination was performed each 3 months. The success rate (mean of three centers) came out to be 87{\%}. Open pyeloplasty was performed in cases where the symptoms of pyelectasia were persisting and caused complaints and stenosis was present even after 6 months. In our opinion, endopyelotomy should be the procedure of first choice for UPJ stenosis, because it is less troublesome for the patient than open pyeloplasty, and the results are real encouraging.",
author = "{Munim Khan}, A. and E. Holman and I. P{\'a}sztor and Cs T{\'o}th",
year = "1997",
month = "8",
language = "English",
volume = "11",
pages = "243--246",
journal = "Journal of Endourology",
issn = "0892-7790",
publisher = "Mary Ann Liebert Inc.",
number = "4",

}

TY - JOUR

T1 - Endopyelotomy

T2 - Experience with 320 cases

AU - Munim Khan, A.

AU - Holman, E.

AU - Pásztor, I.

AU - Tóth, Cs

PY - 1997/8

Y1 - 1997/8

N2 - We were the first to initiate endopyelotomy in Hungary (in 1986) and in Yemen and Pakistan (in 1993). Through the end of 1995, 320 cases of ureteropelvic junction (UPJ) stenosis have been operated upon. The procedure was performed under local anesthesia in adult patients and general anesthesia in children. The minimum age of the patient was 4 years, while the oldest patient was 80 years of age. The UPJ was incised longitudinally at the posterolateral aspect until the perinephric fat was seen, and a drain of 8F to 12F was inserted transrenally into the ureter through a nephroscope. Patients soon left the hospital and were able to start working in 5 days (average). The drain was removed after 6 weeks. During the follow-up period, ultrasonic examination was performed each 3 months. The success rate (mean of three centers) came out to be 87%. Open pyeloplasty was performed in cases where the symptoms of pyelectasia were persisting and caused complaints and stenosis was present even after 6 months. In our opinion, endopyelotomy should be the procedure of first choice for UPJ stenosis, because it is less troublesome for the patient than open pyeloplasty, and the results are real encouraging.

AB - We were the first to initiate endopyelotomy in Hungary (in 1986) and in Yemen and Pakistan (in 1993). Through the end of 1995, 320 cases of ureteropelvic junction (UPJ) stenosis have been operated upon. The procedure was performed under local anesthesia in adult patients and general anesthesia in children. The minimum age of the patient was 4 years, while the oldest patient was 80 years of age. The UPJ was incised longitudinally at the posterolateral aspect until the perinephric fat was seen, and a drain of 8F to 12F was inserted transrenally into the ureter through a nephroscope. Patients soon left the hospital and were able to start working in 5 days (average). The drain was removed after 6 weeks. During the follow-up period, ultrasonic examination was performed each 3 months. The success rate (mean of three centers) came out to be 87%. Open pyeloplasty was performed in cases where the symptoms of pyelectasia were persisting and caused complaints and stenosis was present even after 6 months. In our opinion, endopyelotomy should be the procedure of first choice for UPJ stenosis, because it is less troublesome for the patient than open pyeloplasty, and the results are real encouraging.

UR - http://www.scopus.com/inward/record.url?scp=9844249678&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=9844249678&partnerID=8YFLogxK

M3 - Article

C2 - 9376841

AN - SCOPUS:9844249678

VL - 11

SP - 243

EP - 246

JO - Journal of Endourology

JF - Journal of Endourology

SN - 0892-7790

IS - 4

ER -