Risk Factors and Management Options for the Adult Failed Ureteropelvic Junction Obstruction Repair in the Era of Minimally Invasive and Robotic Approaches: A Comprehensive Literature Review
Restricted accessResearch articleFirst published online November, 2020
Risk Factors and Management Options for the Adult Failed Ureteropelvic Junction Obstruction Repair in the Era of Minimally Invasive and Robotic Approaches: A Comprehensive Literature Review
Guidelines for the management of pyeloplasty failure remain elusive given the rarity of this condition and the difficulty of integrating and analyzing reported outcomes given the varying definition of failures. In this article, we aim to review the existing literature on risk factors that may influence the surgical outcomes of reconstructive pyeloplasty for ureteropelvic junction obstruction. Furthermore, we discuss management options and review success outcomes of treatment options for patients with pyeloplasty failure.
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References
1.
JacobsJA, BergerBW, GoldmanSM, et al.Ureteropelvic obstruction in adults with previously normal pyelograms: A report of five cases. J Urol, 1979; 121:242.
2.
GurbuzC, BestSL, DonnallyC, et al.Intermediate term outcomes associated with the surveillance of ureteropelvic junction obstruction in adults. J Urol, 2011; 185:926.
3.
TurkIA, DavisJW, WinkelmannB, et al.Laparoscopic dismembered pyeloplasty—The method of choice in the presence of an enlarged renal pelvis and crossing vessels. Eur Urol, 2002; 42:268.
BachmannA, RuszatR, ForsterT, et al.Retroperitoneoscopic pyeloplasty for ureteropelvic junction obstruction (UPJO): Solving the technical difficulties. Eur Urol, 2006; 49:264.
6.
MadiR, RobertsWW, WolfJSJr. Late failures after laparoscopic pyeloplasty. Urology, 2008; 71:677.
7.
BansalR, AnsariMS, SrivastavaA, et al.Long-term results of pyeloplasty in poorly functioning kidneys in the pediatric age group. J Pediatr Urol, 2012; 8:25–28.
8.
ChiouYY, ChiuNT, WangST, et al.Factors associated with the outcomes of children with unilateral ureteropelvic junction obstruction. J Urol, 2004; 171:397–402.
9.
OrtapamukH, NaldokenS, TekdoganUY, et al.Differential renal function in the prediction of recovery in adult obstructed kidneys after pyeloplasty. Ann Nucl Med, 2003; 17:663–668.
10.
LiXD, WuYP, WeiY, et al.Predictors of recoverability of renal function after pyeloplasty in adults with ureteropelvic junction obstruction. Urol Int, 2018; 100:209–215.
11.
GrimsbyGM, JacobsMA, GargolloPC. Success of laparoscopic robot-assisted approaches to ureteropelvic junction obstruction based on preoperative renal function. J Endourol, 2015; 29:874–877.
12.
SinglaN, LayAH, CadedduJA. Poor split renal function and age in adult patients with ureteropelvic junction obstruction do not impact functional outcomes of pyeloplasty. Can J Urol, 2016; 23:8457–8464.
13.
AzizMA, HossainAZ, BanuT, et al.In hydronephrosis less than 10% kidney function is not an indication for nephrectomy in children. Eur J Pediatr Surg, 2002; 12:304–307.
14.
NakadaS, BestS. Management of Upper Urinary Tract Obstruction. Campbell Walsh Urology, 11th Edition, Chapter 49, pp. 1108–1125. Philadelphia 2016.
15.
LucasSM, SundaramCP, WolfJSJr, et al.Factors that impact the outcome of minimally invasive pyeloplasty: Results of the Multi-institutional Laparoscopic and Robotic Pyeloplasty Collaborative Group. J Urol, 2012; 187:522–527.
16.
LimDJ, Walker RDIII. Management of the failed pyeloplasty. J Urol, 1996; 156(2 Pt 2):738–740.
17.
SeoIY, OhTH, LeeJW. Long-term follow-up results of laparoscopic pyeloplasty. Korean J Urol, 2014; 55:656–659.
18.
TyritzisSI, KatafigiotisI, ConstantinidesCA. All you need to know about urethrovesical anastomotic urinary leakage following radical prostatectomy. J Urol, 2012; 188:369–376.
19.
RamakumarS, LanciniV, ChanD, et al.Laparoscopic pyeloplasty with concomitant pyelolithotomy. J Urol, 2002; 167:1378–1380.
20.
KadihasanogluM, YucetasU, KarabayE, et al.Comparison of the outcomes of laparoscopic pyeloplasty with and without concomitant pyelolithotomy. Int Braz J Urol, 2019; 45:965–973.
21.
ElderJS, StansbreyR, DahmsBB, et al.Renal histological changes secondary to ureteropelvic junction obstruction. J Urol, 1995; 154(2 Pt 2):719–722.
22.
StockJA, KrousHF, HeffernanJ, et al.Correlation of renal biopsy and radionuclide renal scan differential function in patients with unilateral ureteropelvic junction obstruction. J Urol, 1995; 154(2 Pt 2):716–718.
23.
ShapiroEY, ChoJS, SrinivasanA, et al.Long-term follow-up for salvage laparoscopic pyeloplasty after failed open pyeloplasty. Urology, 2009; 73:115–118.
24.
ChianconeF, FedeliniM, PucciL, et al.Laparoscopic management of recurrent ureteropelvic junction obstruction following pyeloplasty: A single surgical team experience with 38 cases. Int Braz J Urol, 2017; 43:512–517.
25.
AmbaniSN, YangDY, WolfJSJr. Matched comparison of primary versus salvage laparoscopic pyeloplasty. World J Urol, 2017; 35:951–956.
26.
HammadyA, ElbadyM, RashedEN, et al.Laparoscopic repyeloplasty after failed open repair of ureteropelvic junction obstruction: A case-matched multi-institutional study. Scand J Urol, 2017:51:402–406.
27.
SundaramC, Grubb RLIII, RehmanJ, et al.Laparoscopic pyeloplasty for secondary ureteropelvic junction obstruction. J Urol, 2003; 169:2037–2040.
28.
ParkJ, KimWS, HongB, et al.Long-term outcome of secondary endopyelotomy after failed primary intervention for ureteropelvic junction obstruction. Int J Urol, 2008; 15:490–494.
29.
El-NahasAR, ShomaAM, ErakyI, et al.Percutaneous endopyelotomy for secondary ureteropelvic junction obstruction: Prognostic factors affecting late recurrence. Scand J Urol Nephrol, 2006; 40:385–390.
30.
JabbourME, GoldfischerER, KilmaWJ, et al.Endopyelotomy after failed pyeloplasty: The long-term results. J Urol, 1998; 160:690–692.
31.
Di GraziaE, NicolosiD. Ureteroscopic laser endopyelotomy in secondary UPJ obstruction after pyeloplasty failure. Urol Int, 2005; 75:333–336.
32.
PatelT, KellnerCP, KatsumiH, et al.Efficacy of endopyelotomy in patients with secondary ureteropelvic junction obstruction. J Endourol, 2011; 25:587–591.
33.
VannahmeM, MathurS, DavenportK, et al.The management of secondary pelvi-ureteric junction obstruction—A comparison of pyeloplasty and endopyelotomy. BJU Int, 2014; 113:108–112.
34.
VarkarakisIM, BhayaniSB, AllafME. Management of secondary ureteropelvic junction obstruction after failed primary laparoscopic pyeloplasty. J Urol, 2004; 172:180–182.
35.
SwearingenR, AmbaniS, FaerberGJ, et al.Definitive management of failure after pyeloplasty. J Endourol, 2016; 30Suppl 1:S23–S27.
36.
Van CanghPJ, WilmartJF, OpsomerRJ, et al.Long-term results and late recurrence after endoureteropyelotomy: A critical analysis of prognostic factors. J Urol, 1994; 151:934.
37.
GuptaM, TuncayOL, SmithAD. Open surgical exploration after failed endopyelotomy: A 12-year perspective. J Urol, 1997; 157:1613.
38.
DanuserH, AckermannDK, BohlenD, et al.Endopyelotomy for primary ureteropelvic junction obstruction: Risk factors determine the success rate. J Urol, 1998; 159:56.
39.
NakadaSY, WolfJSJr, BrinkJA. Retrospective analysis of the effect of crossing vessels on successful retrograde endopyelotomy outcomes using spiral computerized tomography angiography. J Urol, 1998; 159:62.
40.
AcherPL, NairR, AbburajuJS, et al.Ureteroscopic holmium laser endopyelotomy for ureteropelvic junction stenosis after pyeloplasty. J Endourol, 2009; 23:899–902.
41.
JacobsB, SeelamR, LaiJ, et al.Cost analysis of treatments for ureteropelvic junction obstruction. J Endourol, 2017; 31:204–209.
42.
CherulloEE, GillIS, PonskyLE, et al.Laparoscopic ureterocalicostomy: A feasibility study. J Urol, 2003; 169:2360–2364.
43.
GiteVA, SiddiquiAK, BoteSM, et al.Ureterocalycostomy—Final resort in the management of secondary pelvi-ureteric junction obstruction: Our experience. Int Braz J Urol, 2016; 42:501–506.
44.
ArapMA, AndradeH, TorricelliFC, et al.Laparoscopic ureterocalicostomy for complicated upper urinary tract obstruction: Mid-term follow-up. Int Urol Nephrol, 2014; 46:865.
45.
CasaleP, MucksavageP, ResnickM, et al.Robotic ureterocalicostomy in the pediatric population. J Urol, 2008; 180:2643.
