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Through a scope (without an incision on the body)pyelo = the pelvis of the kidney or the center part of the kidney where the ureter beginstomy = from "tome" meaning to cut.
Pelviureteric junction obstruction is a condition caused by a narrowing of the funnel-shaped part of the kidney (known as the renal pelvis) where urine collects before being carried to the bladder by tubes called ureters. The obstruction may cause episodes of loin pain and/or nausea and vomiting, urinary infections and kidney stones. In some patients the condition could also affect the normal function of the kidney.
This procedure (endopyelotomy) aims to widen the renal pelvis by inserting small instruments either up through the urinary tract or down through the skin and into the kidney. The instruments are used to remove the tissue that is causing the obstruction by cutting or burning it away or by applying laser.
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The process of Endopyelotomy
The process of Endopyelotomy involves two approaches. Both the procedures include anesthesia and it takes around two days.
Antegrade Endopyelotomy - a Nephrostomy tube is used to approach the ureteropelvic junction by side. The obstruction from the ureteropelvic junction is removed with a blade. The tube is left after the surgery. The entire surgery takes 3-4 hours.
Retrograde Endopyelotomy - in this process the ureteropelvic junction is approached through the urethra. It involves balloons that remove the obstruction. This involves less of complication than Antegrade Endopyelotomy. The entire surgery takes 2 hours.
The benefits of Endopyelotomy
There are several benefits of Endopyelotomy, as:
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