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

J Endourol. 2020 Nov;34(11):1112-1119. doi: 10.1089/end.2019.0737. Epub 2020 Mar 17.

Abstract

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.

Keywords: pyeloplasty failure; salvage pyeloplasty; ureteral reconstruction; ureteropelvic junction obstruction.

Publication types

  • Review

MeSH terms

  • Adult
  • Humans
  • Kidney Pelvis
  • Laparoscopy*
  • Risk Factors
  • Robotic Surgical Procedures*
  • Treatment Outcome
  • Ureteral Obstruction* / surgery
  • Urologic Surgical Procedures