PEDIATRIC URETEROPELVIC JUNCTION OBSTRUCTION TREATED WITH RETROGRADE ENDOPYELOTOMY

Objectives. To determine the feasibility of retrograde endopyelotomy i n the management of pediatric ureteropelvic junction (UPJ) obstruction . Methods. We treated 2 boys aged 4 and 6 years with the Acucise endop yelotomy device for symptomatic ureteropelvic junction obstruction. Th e Acucise device was placed over a Lunderquist guide wire with fluoros copic guidance only and routine Double J catheters were left in situ f or 6 weeks after the procedure. The morbidity of the treatment and the short-term outcome were assessed. Results. There were no acute compli cations and short-term follow-up results were satisfactory as determin ed by intravenous urography and diuretic renography. Conclusions. Uret eropelvic junction obstruction in children may be treated by retrograd e endopyelotomy with the Acucise device. The principal potential advan tage of this procedure is reduced morbidity. Our findings suggest that further evaluation is warranted.