Abstract
Endourologic pyeloplasty is being a substitute of open pyeloplasty in management of ureteropelvic junction obstruction. This procedure can be done in different manners like balloon dilation, cold knife and electrosurgical endoureterotomy, accucise and lasers. A 47 year old woman referred with history of previous open pyeloplasty. Hydronephrosis of right kidney with unremarkable T ½ was found in DTPA scan. A full-thickness lateral incision was done with holmium:YAG laser just below the right UPJ and carried through the stenotic segment until the renal pelvis was reached. Half-time of radioisotope excretion was 13 min for the right kidney in diuretic renogram 3 months following operation.
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