It is a congenital malformation which concerns the reins and it causes the affected rein to have trouble expelling urine. Along with itself, it brings:
1) Hidronefrosis
2) Urinary infection (pyelonephritis).
Surgery therapy
1 Open surgery of the junction
2 Use of laser (Thulium and Holmium) which lets us operate endoscopically at junction level, incising it and placing a stent (double J which will be removed after a month) that is to keep the passability of ureter, fostering its healing.
Abstract
Ho:YAG Laser Endopyelotomy is effective for primary and secondary UPJOs
Laser endoureterotomy and endopyelotomy: an update
Retrograde ureteroscopic holmium laser endopyelotomy in a selected population of patients with ureteropelvic junction obstruction.
Ureteroscopic holmium laser endopyelotomy for ureteropelvic junction stenosis after pyeloplasty.
Ureteroscopic holmium:YAG laser endopyelotomy is effective in distinctive ureteropelvic junction obstructions.
Ureteroscopic management of ureteral and ureteroenteral strictures.
Retrograde endopyelotomy: a comparison between laser and Acucise balloon cutting catheter.
Long-term results of endoureterotomy using a holmium laser.
