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Ureteropelvic junction obstruction (UPJ obstruction) is an obstruction at the level of the ureter and renal pelvis. It is the most common cause of hydronephrosis detected in utero and is the most common anomaly detected on prenatal ultrasounds.
Treatment, depending on cause, may require prompt drainage of the bladder via catheterization, medical instrumentation, surgery (e.g., endoscopy, lithotripsy), hormonal therapy, or a combination of these modalities. [citation needed] Treatment of the obstruction at the level of the ureter: Open surgery. Less invasive treatment: laparoscopic ...
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.
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.
The signs and symptoms of hydronephrosis depend upon whether the obstruction is acute or chronic, partial or complete, unilateral or bilateral.Hydronephrosis that occurs acutely with sudden onset (as caused by a kidney stone) can cause intense pain in the flank area (between the hips and ribs) known as a renal colic.
It is commonly used to diagnose upper tract obstruction, hydronephrosis, and ureteropelvic junction obstruction. In this, radiocontrast dye is injected into the renal pelvis and X-rays are taken. It provides detailed anatomy of the upper collecting system.
After the cancer is staged, treatment may involve open surgery to remove the affected ureter and kidney if it is involved; or, if the lesion is small, it may be removed via ureteroscopy. [18] Prognosis can vary markedly depending on the tumour grade, with a worse prognosis associated with an ulcerating lesion. [18]
Kidney obstruction – commonly causes ureteropelvic junction obstruction (UPJ) [1] which is a blockage at the area where the ureter connects to the renal pelvis. This can lead to urinary stasis which can promote infection and stone formation. [4]