Acucise endopyelotomy

Introduction. The evolution of minimally invasive therapy for ureteropelvic junction (UPJ) obstruction has culminated with the Acucise endopyelotomy. Antegrade endopyelotomy, laparoscopic pyeloplasty, and ureteroscopic endopy elotomy all offer excellent minimally invasive alternatives to open pyelopl asty, yet still represent more invasive techniques than the Acucise endopye lotomy in treating the obstructed UPJ, Technical Considerations. The Acucise endopyelotomy is a straightforward, e fficacious, and safe procedure in the appropriate patient for treating UPJ obstruction. Under fluoroscopic guidance, the latest version of the Acucise allows the urologist to perform a retrograde pyelogram, position the Acuci se catheter, make the incision, and place a ureteral stent, all over a sing le guide wire. In my experience, this latest technical modification has fur ther simplified the procedure for the practicing urologist. Conclusions. In 2000, the Acucise endopyelotomy continues to represent an e xcellent minimally invasive option for all urologists who choose to perform endopyelotomies, (C) 2000, Elsevier Science Inc.