Long-term results and late recurrence after endoureteropyelotomy: a critical analysis of prognostic factors

Of 102 consecutive endoureteropyelotomy cases followed for 1 to 10 years (mean 5) late recurrence was observed in 13% and long-term success was achieved in 73%. Of 67 cases with an available preoperative angiogram a strong association was noted between the existence of a vessel crossing the ureterop...

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Bibliographic Details
Published inThe Journal of urology Vol. 151; no. 4; p. 934
Main Authors Van Cangh, P J, Wilmart, J F, Opsomer, R J, Abi-Aad, A, Wese, F X, Lorge, F
Format Journal Article
LanguageEnglish
Published United States 01.04.1994
Subjects
Confidence Intervals
Follow-Up Studies
Humans
Hydronephrosis - surgery
Kidney Pelvis - surgery
Odds Ratio
Prognosis
Recurrence
Risk Factors
Time Factors
Treatment Failure
Ureteral Obstruction - surgery
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Summary:Of 102 consecutive endoureteropyelotomy cases followed for 1 to 10 years (mean 5) late recurrence was observed in 13% and long-term success was achieved in 73%. Of 67 cases with an available preoperative angiogram a strong association was noted between the existence of a vessel crossing the ureteropelvic junction and high grade hydronephrosis, and final failure and/or recurrence: long-term success rate was 39% when both factors were present and it was 95% when neither factor was present. Therefore, we recommend that the presence of a vessel should be determined preoperatively since it significantly influences the outcome.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)35126-1