Laparoscopic pyeloplasty is an alternative minimally invasive techniqu
e for repairing the obstructed ureteropelvic junction. As with open py
eloplasty, this technique addresses all potential benign causes of ure
teropelvic junction (UPJ) obstruction. Having performed laparoscopic p
yeloplasty on 57 patients at our institution over the past 4 years, ou
r experience suggests that laparoscopic pyeloplasty is an effective te
chnique with durable longterm clinical and radiographic results. In co
ntrast to endoscopic incisional techniques, laparoscopic pyeloplasty a
ppears to offer a higher success rate with minimal risk of perioperati
ve hemorrhage.