Contemporary diagnosis and management of pelvi-ureteric junction obstruction

Arun Rai; Alan Hsieh; Arthur Smith

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Contemporary diagnosis and management of pelvi-ureteric junction obstruction

机译：Contemporary diagnosis and management of pelvi-ureteric junction obstruction

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Pelvi-ureteric junction obstruction (PUJO) is defined as a functionally significant impairment of the flow of urine from the kidney's renal pelvis into the proximal ureter. Symptomatically, the patient may experience flank pain, recurrent infections, stone formation, and impairment of renal function. Although many cases of intrinsic PUJO are diagnosed at birth, a minority of patients may present in adulthood with previously silent disease or develop secondary PUJO to other causes. PUJO is therefore broadly categorised into both primary and secondary PUJO. A wide array of diagnostic scans and tests are available to aid in diagnosing and monitoring patients with PUJO. In patients with compromised renal function or symptomatic PUJO that require intervention, minimally invasive techniques are the 'gold standard' for surgical intervention. This review will detail the endoscopic, laparoscopic, and robotic options available to the urologist practicing in 2021, including the use of autografts and other emerging technologies.

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《BJU international》 |2022年第3期|285-290|共6页
作者
Arun Rai; Alan Hsieh; Arthur Smith;
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作者单位

Smith Institute for Urology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell;

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正文语种英语
中图分类泌尿科学（泌尿生殖系疾病）;
关键词
pelvi-ureteric junction obstruction; robotic surgery; laparoscopic surgery; indocyanine green; nuclear scan; secondary obstruction; crossing vessel; Urology; UroTrauma;

Contemporary diagnosis and management of pelvi-ureteric junction obstruction

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