Vol. 42 (3): 501-506, May – June, 2016
Ureterocalycostomy – final resort in the management of secondary pelvi-ureteric junction obstruction: our experience
Venkat A. Gite 1, Ayub Karam Nabi Siddiqui 1, Sachin M. Bote 1, Saurabh Ramesh Patil 1, Anita J. Kandi 2, Jayant V. Nikose 1
1 Department of Urology, Grant Govt. Medical College & Sir J.J. Group of Hospitals, Mumbai -Mumbai, India; 2 Department of Surgery, GMC Aurangabad – Aurangabad, India
Ureterocalycostomy can be performed in patients in whom desired methods of treating secondary PUJ (Pelvi-Ureteric Junction) obstructions either failed or could not be used.
In our study, one child and two adults in whom one redo-ureterocalycostomy and two ureterocalycostomies were performed for severely scarred PUJ. The causes for se¬condary PUJ obstruction were post-pyelolithotomy in one case, post-pyeloplasty and ureterocalycostomy for PUJ obstruction in the second patient and the third patient had long upper ureteric stricture post-ureteropyeloplasty due to tuberculosis. In all these cases ureterocalycostomy proved to be salvage/final resort for preserving functional renal unit.
Keywords: Ureter; Multicystic renal dysplasia, bilateral [Supplementary Concept]; Pyeloform [Supplementary Concept]