Cirugía y Cirujanos

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirugía y Cirujanos >Year 2003, Issue 4

Gallego-Grijalva JE, Jaimes-Jiménez R, Alvarado-García R, Terriquez-Rodríguez S
Hydropneumatic dilatation of the ureter. A technical option in ureteropyeloplasty
Cir Cir 2003; 71 (4)

Language: Español
References: 16
Page: 296-299
PDF: 55.45 Kb.

[Full text - PDF]


Introduction: The pyeloureteric junction (UP) is the site of obstruction commonest in the upper tract urinary. Several surgical techniques exist and the main complication is the stricture by the disproportion between both ends. The hydropneumatic dilatation of the ureteric would increase of the 5:1 to 2:1 the light of the ureter, improving technically anastomosis and reducing complications. Material and methods: They studied 27 patients with diagnose of Estenosis UP in the Paediatric Urologist Service of CMN 20 of November of the ISSSTE, being made dismembered Pyeloplasty pyeloureteric in all, introducing Fogarty catheter in the Ureter carrying out the hydropneumatic dilatation of the same one, introduction of catheter double J in ureter and in the last patient without this, previous one to the anastomosis. All had a pursuit of 6 months. Results: Of the 27 patients, 21 masculine ones (77.78%), 6 feminine ones (22.22%), of the right side 10 (37.04%), left 14 (51.85%) and bilateral 3 (11.11%). In the 27 studied patients postoperating complications did not appear. To all the patients I am made the dilatation to them hydropneumatics of the Ureter during UP plasty, did not present/display postoperating complications, the anastomosis is carried out with greater technical facility since the light of the Ureteric increase from 5:1 in 2:1, and in I complete case withou t ferulization of the Ureter, I do not present/display complications. Discussion: The hydropneumatics dilatation of the Ureter is a technical option in the Surgical handling of stricture UP, facilitating the anastomosis, diminishing the postoperating complications, making the ferulization do withoutible of the Ureter.

Key words: Ureteric dilatation, pyeloureteral stricture..


  1. Mouriquand P. Congenital anomalies of the pyeloureteral junction and the ureter. O’Neill James A. Vol. 2. 5th Edition. Edit. Mosby, 1998: pp. 1591-1609.

  2. González R, Schimke CM. Ureteropelvic junction obstruction in infants and children. Pediat Clin North Am 2001;48(6):1505-18.

  3. Egan SC, Stock JA, Hanna MK. Renal ultrasound changes after internal double-J stented pyeloplasty for Ureteropelvic junction obstruction. Techniq In Urol 2001;7(4):276-80.

  4. Rohmann D, Snyder HM, et al. The Operative Management of Recurrent Ureteropelvic Junction Obstruction. J Urol 1997;158(3):1257-1259.

  5. Diamond DA, Nguyen H. Dismembered V- Flap Pyeloplasty. J Urol 2001;166:233-235.

  6. Fasihunddin Q, Abel F, Shoeder RJ. Effectiveness of endoscopic and open surgical Management in benign ureteral strictures. J of the Pakistan Med Assoc 2001;51(10):351-3.

  7. Ahmed S, Crankson S. Non-intubated pyeloplasty for pelviureteric junction obstruction in children. Ped Surg International 1997;12(5-6):389-92.

  8. Mckenzie RK, Youngson GG. Gregory RS. Is there a role for balloon dilatation of pelvi-ureteric obstruction in children? J of Pediatr Surg 2002;37(6):893-6.

  9. Punekar SV, Rao SR, Smith RV. Balloon dilatation of ureteric strictures. J of Postgraduate Med 2000;46(1):23-5.

  10. Osther PJ, Geertsen U, Nielsen HV. Ureteropelvic junction obstruction and ureteral strictures treated by simple high-pressure balloon dilatation. J Endourology 1998;12(5):429-31.

  11. Angulo JM, Arteaga R, Robledo JI. Role of retrograde endoscopic dilatation with balloon and derivation using double pig-tail catheter as an initial treatment for vesico-ureteral junction stenosis in children. Cirugía Ped 1998;11(1):15-8.

  12. Webber RJ, Pandian SS, Sigler RL. Retrograde balloon dilatation for pelviureteric junction obstruction: long-term follow-up. J Endourology 1997;11(4):239-42.

  13. Wilkinson AG, Azmy A. Balloon dilatation of the pelviureteric junction in children: early experience and pitfalls. Pediatr Radiol 1996;26(12):882-6.

  14. Ahmed S. Retrograde balloon dilatation for primary pelvi-ureteric stenosis. Br J Urol 1997;80(2):361.

  15. Sugita Y, Clarnette T, Hutson JM. Retrograde balloon dilatation for primary pelvi-ureteric junction stenosis in children. Br J Urol 1996;77(4):587-589.

  16. Tan HL. Laparoscopic Anderson-Hynes Dismembered pyeloplasty in children using needlescopic. Urol Clin North Am 2001;28(1):43-51.

>Journals >Cirugía y Cirujanos >Year 2003, Issue 4

· Journal Index 
· Links 
Copyright 2010