The Journal of urology · 1996
Acucise endopyelotomy: assessment of long-term durability.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Nadler R B, Rao G S, Pearle M S, Nakada S Y, Clayman R V
Аннотация
PURPOSE: We evaluated the long-term efficacy of Acucise endopyelotomy.
MATERIALS AND METHODS: A total of 28 patients with 28 ureteropelvic junction obstructions was reevaluated 2 or more years after Acucise endopyelotomy (mean 32.5 months). Subjective analysis was done with analog pain scales and objective analysis was performed with diuretic renal scintigraphy.
RESULTS: Subjective followup was available for all 28 patients, and 17 (61%) had a favorable response with 36% totally free of pain and 25% markedly improved. Among 26 patients with objective followup (93%) 21 (81%) had a patient ureteropelvic junction based on a diuretic renal scan with a half-time of less than 10 minutes or a normal Whitaker test. Among all regularly followed patients failure occurred uniformly within 1 year.
CONCLUSIONS: Acucise endopyelotomy is an effective and durable method for treating ureteropelvic junction obstruction.
MATERIALS AND METHODS: A total of 28 patients with 28 ureteropelvic junction obstructions was reevaluated 2 or more years after Acucise endopyelotomy (mean 32.5 months). Subjective analysis was done with analog pain scales and objective analysis was performed with diuretic renal scintigraphy.
RESULTS: Subjective followup was available for all 28 patients, and 17 (61%) had a favorable response with 36% totally free of pain and 25% markedly improved. Among 26 patients with objective followup (93%) 21 (81%) had a patient ureteropelvic junction based on a diuretic renal scan with a half-time of less than 10 minutes or a normal Whitaker test. Among all regularly followed patients failure occurred uniformly within 1 year.
CONCLUSIONS: Acucise endopyelotomy is an effective and durable method for treating ureteropelvic junction obstruction.