82 results match your criteria Ureterocalicostomy

Robot-Assisted Laparoscopic Ureterocalicostomy in the Setting of Ureteropelvic Junction Obstruction: A Multi-Institutional Cohort.

J Urol 2022 07 21;208(1):180-185. Epub 2022 Feb 21.

Division of Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Purpose: Recurrent ureteropelvic junction obstruction (UPJO) after failed pyeloplasty is a complex surgical dilemma. The robot-assisted laparoscopic ureterocalicostomy (RALUC) is a potential surgical approach, but widespread adoption is limited due to the perceived technical challenge of the procedure. We present a multi-institutional pediatric cohort undergoing RALUC for recurrent or complex UPJO, and hypothesize that the procedure is reproducible, safe and efficacious. Read More

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Robotic-Assisted Laparoscopic Ureterocalicostomy for Persistent Uretero-Pelvic Junction (UPJ) Obstruction after Failed Renal Pyeloplasty.

W Z So H Y Tiong

Eur Urol Open Sci 2022 Mar 11;37:1-2. Epub 2022 Jan 11.

National University Hospital, Dept. of Urology, Kent Ridge, Singapore.

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Combined ureterocalicostomy with buccal mucosa graft ureteroplasty in complex upper ureteral stricture: A rare case of reconstruction.

Urol Ann 2021 Apr-Jun;13(2):186-189. Epub 2021 Apr 13.

Department of Urology, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India.

The treatment of a major and complex ureteric stricture requires the use of a bowel interposition or autotransplantation of the kidney, which is a major undertaking and remains the traditional option. Buccal mucosa is an established tissue for urethral reconstruction and can be used safely for the repair of narrowing of the ureter. This technique has been well documented in the literature; however, a combined ureterocalicostomy with buccal mucosa graft ureteroplasty has not yet been reported in literature. Read More

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Role of ureterocalicostomy in management of giant hydronephrosis in children in contemporary practice: Indications, outcomes and challenges.

J Pediatr Urol 2021 Oct 9;17(5):657.e1-657.e7. Epub 2021 Jun 9.

Division of Pediatric Urology, Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. Electronic address:

Introduction: Given the rarity of giant hydronephrosis (GH), ideal surgical approach, assessment of drainage after surgery, expected improvement in renal function and morphological changes in the kidney on follow up have not been studied extensively. The aim of this study was to investigate the role of ureterocalicostomy (UC) in unilateral GH with respect to its current indications, outcomes and the challenges associated with it.

Materials And Methods: We retrospectively analysed data of 25 children (up to the age of 18 years) who underwent UC between January 2008 and January 2019 using open, laparoscopic or robotic-assisted approach. Read More

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October 2021

Primary vs redo robotic pyeloplasty: A comparison of outcomes.

J Pediatr Urol 2021 08 19;17(4):528.e1-528.e7. Epub 2021 Feb 19.

Division of Urology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA; Division of Urology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Care, 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104, USA. Electronic address:

Introduction: Robot-assisted laparoscopic pyeloplasty (RALP) is a safe and efficacious option for repair of UPJO. We hypothesize that redo-RALP is technically more difficult but has comparable outcomes to primary RALP.

Methods: An IRB-approved single institutional registry was utilized to identify all patients undergoing primary or redo RALP from 2012 to 2019. Read More

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Evaluation of the results of laser endopyelotomy with two different technique in ureteropelvic junction obstruction.

J Pediatr Urol 2021 06 1;17(3):397.e1-397.e6. Epub 2021 Feb 1.

Introduction: Failed pyeloplasty procedures are caused by large amounts of scarring, and peripelvic fibrosis. This finding has been associated with urinary extravasations to the operation, urosepsis or an excessive tissue reaction. The treatment options for secondary UPJO (Ureteropelvic Junction Obstruction) are the same with the options for primary procedures: in cases of very poor renal function, various pyeloplasty forms (open and laparoscopic), and ureterocalicostomy or sometimes nephrectomy may be considered in severe renal function loss. Read More

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Hydronephrosis caused by kidney malrotation.

Urol Case Rep 2021 May 11;36:101564. Epub 2021 Jan 11.

Centre Universitaire Romand de Chirurgie Pédiatrique, Division of Pediatric Surgery of Lausanne, CHUV, Lausanne, Switzerland.

Hydronephrosis associated with kidney malrotation can be a surgical challenge. We present the case of a 3.5 y. Read More

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Redo Laparoscopic Pyeloplasty in Infants and Children: Feasible and Effective.

Front Pediatr 2020 10;8:546741. Epub 2020 Nov 10.

Department of Pediatric Urology, Robert-Debré University Hospital, Assistance Publique - Hôpitaux de Paris (APHP), Paris, France.

To determine the feasibility and effectiveness of redo laparoscopic pyeloplasty among patients with failed previous pyeloplasty, specifically examining rates of success and complications. We retrospectively reviewed the charts of all patients, who underwent redo laparoscopic pyeloplasty from 2006 to 2017. This included patients who underwent primary pyeloplasty at our institution and those referred for failures. Read More

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November 2020

Pediatric robotic-assisted laparoscopic ureterocalycostomy: Salient tips and technical modifications for optimal repair.

BJUI Compass 2021 Jan 14;2(1):53-57. Epub 2020 Nov 14.

Pediatric Urology Section of Urology Department of Surgery Comer Children's Hospital Pritzker School of Medicine The University of Chicago Chicago IL USA.

Introduction: Ureterocalycostomy is a necessary option for renal salvage in cases where conventional reconstructions have failed or as a primary option in anatomic situations such as intrarenal pelvis, malrotated, or horseshoe kidney. The primary principle of this procedure is to allow for dependent drainage. Ureterocalycostomy is often difficult due to extensive scar tissue and may be complicated by bleeding in the setting of a normal functioning lower pole cortex, compared to thin renal cortex and poor renal function as seen in end-spectrum of the obstruction. Read More

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January 2021

Efficacy of ureterocalicostomy in treating secondary long-segment upper ureteral stricture.

Int J Clin Exp Pathol 2020 1;13(10):2554-2561. Epub 2020 Oct 1.

Department of Urology, The Second Affiliated Hospital of Kunming Medical University Kunming, Yunnan Province, China.

Objective: To evaluate the efficacy and safety of ureterocalicostomy for long-segment upper ureteral stricture.

Methods: A total of 13 patients underwent ureterocalicostomy for long-segment upper ureteral stricture, and a long-term follow-up was carried out to observe postoperative results, complications and renal function at 6 months after surgery.

Results: Among the 13 patients undergoing ureterocalicostomy, 12 achieved successful results with surgery. Read More

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October 2020


Georgian Med News 2020 Jun(303):33-39

Kharkov National Medical University, Ukraine.

The paper provides a retrospective study of long-term results of ureterocalicostomy (UC) performed in one specialized center. The study included 37 patients who underwent UC as a primary (43.2%) or secondary (56. Read More

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[Advance in re-do pyeloplasty for the management of recurrent ureteropelvic junction obstruction after surgery].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Aug;52(4):794-798

Ureteropelvic junction obstruction (UPJO) is characterized by decreased flow of urine down the ureter and increased fluid pressure inside the kidney. Open pyeloplasty had been regarded as the standard management of UPJO for a long time. Laparoscopic pyeloplasty reports high success rates, for both retroperitoneal and transperitoneal approaches, which are comparable to those of open pyeloplasty. Read More

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Light-guided renal cyst fenestration during laparoscopic ureterocalicostomy in a patient with left ureteropelvic junction obstruction.

IJU Case Rep 2020 Jan 13;3(1):8-11. Epub 2019 Nov 13.

Department of Urology Faculty of Medicine University of Tsukuba Tsukuba Japan.

Introduction: Laparoscopic ureterocalicostomy is a useful alternative to laparoscopic pyeloplasty for treating ureteropelvic junction obstruction under certain conditions. One concern regarding this technique is the inevitability of amputation of the renal lower pole to expose the lower renal calyx.

Case Presentation: A 43-year-old man who presented ureteropelvic junction obstruction and multiple renal cysts underwent laparoscopic pyeloplasty, which could not be performed because of the intrarenal ureteropelvic junction. Read More

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January 2020

Outcomes of Robot-Assisted Ureterocalicostomy in Secondary Ureteropelvic Junction in Adults: Initial Experience Using Da Vinci Xi System with Near-Infrared Fluorescence Imaging.

J Laparoendosc Adv Surg Tech A 2020 Jan 2;30(1):48-52. Epub 2019 Dec 2.

Department of Urology, JIPMER, Pondicherry, India.

To report the surgical technique and early outcomes of robot-assisted ureterocalicostomy (RAUC) with near-infrared fluorescence (NIRF) in the management of secondary pelvi-ureteric junction obstruction (PUJO) in adults. The data of 6 patients who underwent RAUC using Da Vinci Xi system with NIRF technology between November 2017 and April 2019 were retrospectively reviewed. Indication was secondary PUJO due to previous failed pyeloplasty. Read More

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January 2020

Squamous cell carcinoma of skin due to prolonged indwelling percutaneous nephrostomy catheter.

BMJ Case Rep 2019 May 24;12(5). Epub 2019 May 24.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Percutaneous nephrostomy (PCN) catheter placement is a commonly performed procedure in the urological practice for various indications like percutaneous nephrolithotomy, pyonephrosis, infected hydronephrosis and after failed attempt of ureteric stenting. The nephrostomy catheter is usually associated with low complication and morbidity rate, but prolonged indwelling nephrostomy tube may be hazardous in some cases. We hereby report a case of squamous cell carcinoma of skin around the PCN, which was attributed to chronic inflammation and persistent irritation from a long-term neglected indwelling nephrostomy catheter for last 3 years. Read More

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Robotic Ureteral Reconstruction in the Pediatric Population.

Front Pediatr 2019 22;7:85. Epub 2019 Mar 22.

Department of Pediatric Urology, Children's Healthcare of Atlanta, Atlanta, GA, United States.

Robot-assisted laparoscopic (RAL) surgery is a safe, minimally invasive technique that has become more widely used in pediatric urology over recent decades. With several advantages over standard laparoscopy, robotic surgery is particularly well-suited to reconstructive surgery involving delicate structures like the ureter. A robotic approach provides excellent access to and visualization of the ureter at all levels. Read More

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Upper Ureteric Stricture Secondary to Celiac Plexus Block Managed by Robotic Ureterocalicostomy.

J Endourol Case Rep 2018 3;4(1):183-185. Epub 2018 Nov 3.

Department of Urology, Asian Institute of Nephrology & Urology, Hyderabad, Telangana, India.

Ureterocalicostomy is a well-established procedure of choice for recurrent pelviureteric junction (PUJ) obstruction refractory to endoscopic management, failed pyeloplasty, completely intrarenal pelvis, and iatrogenic upper ureteral stricture with significant peripelvic fibrosis. Robotic ureterocalicostomy is the procedure of choice in such scenarios where meticulous dissection and accurate anastomotic suturing is required. We report the case of an 18-year-old male, who underwent celiac plexus block for pain management of chronic calcific pancreatitis and presented with pain in the epigastric region and the right flank. Read More

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November 2018

Robot-Assisted Laparoscopic Reoperative Repair for Failed Pyeloplasty in Children: An Updated Series.

J Urol 2019 05;201(5):1005-1011

Department of Urology, Northwestern University , Chicago , Illinois.

Purpose: Reoperative pyeloplasty is commonly used in children with recurrent obstruction after pyeloplasty. We previously reported on reoperative robot-assisted laparoscopic repair for failed pyeloplasty in 16 children and concluded that short-term and intermediate outcomes were comparable to open reoperative repair. In this updated series we describe longer term outcomes from an extended study. Read More

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Robot assisted intra-corporeal ileocalicostomy ureteral substitution for complex uretero-pelvic junction obstruction: a novel and feasible innovation.

J Robot Surg 2019 Aug 31;13(4):589-593. Epub 2018 Oct 31.

Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

A 33-year-old female presented to the emergency department of our hospital with urosepsis and hematuria with clot retention secondary to a complicated pyelolithotomy for left-sided pelvic calculus. A percutaneous nephrostomy was placed for drainage as a DJ stent could not be traversed into the left renal pelvis with retrograde pyelography demonstrating complete cut-off at L4-L5 level. After stabilization, she was found to have uretero-pelvic junction obstruction (UPJO) in left solitary functioning kidney with long-segment upper ureteric stricture and nadir serum creatinine 1. Read More

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Laparoscopic ureterocalicostomy in children: The technique and feasibility.

S Lobo I Mushtaq

J Pediatr Urol 2018 08 11;14(4):358-359. Epub 2018 Jul 11.

Urology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

Ureterocalicostomy is a salvage technique commonly used for failed pyeloplasties; it has also been reported as a primary procedure in ureteropelvic junction obstruction (UPJO). This video describes the technique of laparoscopic ureterocalicostomy for primary UPJO in a child with a malrotated kidney and parenchymal thinning. A 13-year-old girl with symptomatic UPJO was found to have a malrotated kidney with a high posterior insertion of the ureter. Read More

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Ureterocalicostomy with lower pole nephrectomy in a renal transplant: A case report.

Am J Transplant 2018 09 9;18(9):2347-2351. Epub 2018 Jun 9.

Department of Urology, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil.

As the number of kidney transplants continues to rise, so does the number and complexities of surgical-related complications, which may be associated with increased morbidity and potentially graft loss. Ureteral stenosis, the most prevalent urological complication, may require diverse techniques for surgical correction depending on several recipient and graft abnormalities. Here we report the surgical and clinical outcomes of a 62-year-old man with a posttransplant pyeloureterostomy stricture successfully treated with ureterocalicostomy after a lower pole nephrectomy. Read More

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September 2018

Importance of lower pole nephrectomy during ureterocalicostomy.

Urol Ann 2017 Oct-Dec;9(4):407-409

Department of Urology and Renal Transplantation, SGPGIMS, Lucknow, Uttar Pradesh, India.

Ureterocalicostomy is usually a salvage procedure for recurrent pelvi-ureteric junction (PUJ) stricture or upper ureteric injury. It requires meticulous dissection of the upper ureter, and lower pole nephrectomy is considered an essential step to achieve a wide funneled and dependent ureterocaliceal anastomosis. We, hereby, highlight the importance of guillotine lower pole nephrectomy through a case report of recurrent PUJ stricture managed with ureterocalicostomy that failed due to the omission of lower pole nephrectomy. Read More

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November 2017

Laparoscopic ureterocalicostomy for ureteropelvic junction obstruction in a 10-year-old female patient: a case report.

BMC Res Notes 2017 Jul 6;10(1):247. Epub 2017 Jul 6.

Department of Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-Ku, Sapporo, 060-8638, Japan.

Background: Ureterocalicostomy is indicated mainly in cases with failed pyeloplasty or with a completely intrarenal pelvis. While there have been several case series reported in adults, laparoscopic ureterocalicostomy in pediatric cases has rarely been reported. We report a case of pure laparoscopic ureterocalicostomy for ureteropelvic junction obstruction in an Asian female child. Read More

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Ureterocalicostomy for Reconstruction of Complicated Ureteropelvic Junction Obstruction in Adults: Long-Term Outcome and Factors Predicting Failure in a Contemporary Cohort.

J Urol 2017 12 23;198(6):1374-1378. Epub 2017 Jun 23.

Department of Urology and Renal Transplant, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Purpose: Ureterocalicostomy is a well established treatment option in patients who have recurrent ureteropelvic junction obstruction with postoperative fibrosis and a relatively inaccessible renal pelvis. We evaluated the long-term outcome of ureterocalicostomy and factors predicting its failure.

Materials And Methods: We retrospectively analyzed data on 72 patients who underwent open or laparoscopic ureterocalicostomy from 2000 to 2014. Read More

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December 2017

Congenital infundibulopelvic stenosis: Indications for intervention, surgical technique, and review of literature.

J Pediatr Urol 2016 Dec 21;12(6):389.e1-389.e5. Epub 2016 Jun 21.

Pediatric Urology, Children's Health System Texas, University of Texas Southwestern, Dallas, TX, USA. Electronic address:

Introduction: Congenital infundibulopelvic stenosis (IFPS) is a rare renal dysmorphism marked by dilated calyces proximal to diminutive infundibulum and renal pelvises. The entity is theorized to exist on the spectrum of congenital obstructive renal diseases between ureteropelvic junction obstruction and multicystic dysplasia.

Objective: This case series sought to review and present the surgical management of three cases of IFPS with progressive renal insufficiency. Read More

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December 2016

Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage.

Urol Ann 2016 Apr-Jun;8(2):242-4

Department of Urology and Kidney Transplantation, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India.

Anomalous kidneys are mostly asymptomatic and are often found incidentally during physical or radiological investigations for urological or other medical complaints. The associated genital anomalies ranges from 15% to 45%. Females are associated with bicornuate or unicornuate uterus, rudimentary or absent uterus while males have undescended testes, duplication of the urethra, and hypospadias. Read More

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Urinary Tuberculosis with Renal Failure: Challenges in Management.

J Clin Diagn Res 2016 Jan 1;10(1):PC01-3. Epub 2016 Jan 1.

Professor and Head, Department of Urology, Vedanayagam Hospital , Coimbatore, India .

Introduction: India is the country with the highest burden of TB, an estimated incidence figure of 2.1 million cases of TB for India out of a global incidence of 9 million according to World Health Organization (WHO) statistics for 2013. Renal impairment in these patients is slow and due to continuous infection causing destruction of renal mass. Read More

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January 2016


Nihon Hinyokika Gakkai Zasshi 2016 ;107(3):198-202

Department of Urology, Shinshu University Hospital.

We report a 25-year-old male with multiple visceral injuries accompanied by right renal pedicle injury and left ureteral disruption treated successfully by left ureterocalicostomy. He was accidentally crushed by a roller for fishing net hoists while working as a fisherman in May 2011. He was emergently transported to Kurobe City Hospital. Read More

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January 2016

Laparoscopic management of recurrent ureteropelvic junction obstruction following pyeloplasty.

Urol Ann 2015 Apr-Jun;7(2):183-7

Department of Urology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.

Objective: The aim was to analyze the operative, postoperative and functional outcome of laparoscopic management of previously failed pyeloplasty and to compare operative and postoperative outcome with laparoscopic pyeloplasty for primary ureteropelvic junction obstruction (UPJO).

Materials And Methods: All patients who underwent laparoscopic management for previously failed dismembered pyeloplasty were analyzed in this study. Detailed clinical and imaging evaluation was performed. Read More

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Outcomes of robotic-assisted laparoscopic upper urinary tract reconstruction: 250 consecutive patients.

BJU Int 2015 Oct 16;116(4):604-11. Epub 2015 Jun 16.

Department of Urology, NYU Langone Medical Center, New York, NY, USA.

Objective: To evaluate the long-term outcomes of robotic-assisted laparoscopic (RAL) upper urinary tract (UUT) reconstruction performed at a tertiary referral centre.

Materials And Methods: Data from 250 consecutive patients undergoing RAL UUT reconstruction, including pyeloplasty with or without stone extraction, ureterolysis, uretero-ureterostomy, ureterocalicostomy, ureteropyelostomy, ureteric reimplantation and buccal mucosa graft ureteroplasty, were collected at a tertiary referral centre between March 2003 and December 2013. The primary outcomes were symptomatic and radiographic improvement of obstruction and complication rate. Read More

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October 2015