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It is the most common cause of hydronephrosis detected in utero and is the most common anomaly detected on prenatal ultrasounds. [1] [2] It occurs in approximately 1 in every 1500 live births, is most commonly seen in males, involves the left ureter twice as often as the right ureter. [1] [2] UPJ obstruction is transient in most cases. [2]
Common causes of upper tract obstruction include obstructing stones and ureteropelvic junction (UPJ) obstruction caused by intrinsic narrowing of the ureters or an overlying vessel. Obstruction occurring in the lower urinary tract can also cause this increased pressure through the reflux of urine into the kidney.
Contralateral ureteropelvic junction obstruction is found in 3% to 12% of infants with multicystic kidney and contralateral vesicoureteral reflux is seen even more often, in 18% to 43% of infants. Because the high incidence of reflux, voiding cystourethrography usually has been considered advisable in all newborns with a multicystic kidney.
Pyeloplasty is a type of surgical procedure performed to treat an uretero-pelvic junction obstruction if residual renal function is adequate. [1]This revision of the renal pelvis treats the obstruction by excising the stenotic area of the renal pelvis or uretero-pelvic junction and creating a more capacious conduit using the tissue of the remaining ureter and renal pelvis.
Treatment of the obstruction at the level of the ureter: Open surgery. Less invasive treatment: laparoscopic correction. Minimal invasive treatment: Overtoom procedure: [4] dilatation with cutting balloon catheter followed by introduction of the pyeloplasty balloon catheter. [5]
Composting your loved one’s remains feels different than cremation or burial, Muckenhoupt said. “You have had your ceremony, and then the story ends,” she said. “With soil, the story is ...
The ureteric balloon catheter is intended to cure two major types of diseases: Ureteropelvic junction obstruction (also called UPJ obstruction or Pelvic-ureteric junction obstruction PUJO) [1] caused by intrinsic wall factors as fibrosis and / or hypertrophic wall problems.
“It does sound harsh but you have to remember we were a community of drug addicts, recovering drug addicts, and these kind of punishments became rites of passage for many of us,” said Howard Josepher, 76, who in the ’60s was one of the first members of New York City’s Phoenix House, which was a Synanon-type program when it was established.