Use of retrograde pyelogram to plan for miniature open incision in pediatric pyeloplasty

As robotic-assisted surgery becomes increasingly utilized for pediatric ureteropelvic junction (UPJ) obstruction, open surgeons have countered by using muscle-splitting, miniature ( ≤2cm) incisions. To prepare for this type of incision during pyeloplasty, it is necessary to define the exact location of the UPJ. The use of retrograde pyelogram (RPG) at the time of pyeloplasty helps the surgeon to identify the exact location of UPJ, and thus be able to use a muscle-splitting, m iniature incision for open pyeloplasty.

Source: Journal of Pediatric Urology - April 28, 2020 Category: Urology & Nephrology Authors: Amr K. Salama, Konrad Szymanski, Jessica Casey, Joshua Roth, Ben Whittam, Mark P. Cain Source Type: research