Ureterocalicostomy for treatment of complex cases of ureteropelvic junction obstruction in adults.

Objectives: To evaluate ureterocalicostomy (UC) in the management of selected cases of ureteropelvic junction (UPJ) obstruction.

Methods: The data from 22 patients who underwent UC from April 2002 to April 2009 were reviewed. The indications for UC were primary UPJ obstruction with completely intrarenal pelves (2 cases), complicated (secondary or recurrent) UPJ obstruction with an intrarenal pelvis and/or reversed caliceopelvic ratio (16 cases) and after iatrogenic injury at the UPJ (4 cases).

Extracorporeal shock wave lithotripsy of lower ureteric stones: Outcome and criteria for success.

Objective: To evaluate the efficacy of extracorporeal shock wave lithotripsy (ESWL) for distal ureteric calculi (DUC) and to determine variables that could affect the outcome results.

Patients And Methods: Between April 2004 and February 2008, 100 patients with a solitary DUC were treated with in situ ESWL using a lithotripter (Lithostar Plus, Siemens, Erlangen, Germany). The outcome of treatment was evaluated after 3 months.

Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction.

Purpose: To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases.

Materials And Methods: One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic renogram (RDR) were enrolled in the present study. All patients underwent TDJS for 3 weeks.