Abstract
Ureterocalicostomy completely excludes the renal pelvis and the stenotic ureteropelvic junction (UPJ) area and establishes urinary drainage from the lower calyx directly into the ureter. Technically, a successful ureterocalicostomy includes a generous spatulation of a healthy ureter, adequate excision of lower pole renal parenchyma, and a tension-free, precise, mucosa-to-mucosa uretero-caliceal anastomosis. We report a case of primary UPJ obstruction in a child with a small renal pelvis surrounded by multiple branches of renal vessels treated with primary ureterocalicostomy.
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