Ureteropelvic junction obstruction in nephrolithiasis

David, Harry S.; Lavengood, Russell W.

doi:10.1016/0090-4295(75)90007-2

Cited by 12 publications

(9 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This seems to be also true for the adult population ( 13 ). In an early series, David and Lavengood ( 14 ) reported concomitant lithiasis in 16% of patients undergoing open pyeloplasty, whereas others reported an incidence of up to 20% ( 15 ). PUJO in horseshoe kidneys is described as high as 35% ( 16 ) and Lampel et al suggested that at least 14% of stones treated in such patients were associated with a narrow pelviureteric junction ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

“…Another hypothesis is that a delayed washout due to the junction results in crystal agglomeration and nucleation that eventually develop into calculi ( 20 ). Whether stones in patients with PUJO have an underlying metabolic causative factor ( 14 , 15 ) or represent the result of the anatomical condition per se ( 20 ) remains an area of controversy. It has been shown that urinary stasis does not appear to be the sole contributor to lithiasis in horseshoe kidneys, and that urinary tract infection and metabolic factors play an important and synergistic role ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Forming a stone in pelviureteric junction obstruction: cause or effect?

2017

View full text Add to dashboard Cite

Objectives To investigate a possible causal relationship for stone formation in pelviureteric junction obstruction and to outline management options.Materials and Methods A literature search and evidence synthesis was conducted via electronic databases in the English language using the key words pelviureteric junction obstruction; urolithiasis; hyperoxaluria; laparoscopic pyeloplasty; flexible nephroscopy; percutaneous nephrolithotomy, alone or in combination. Relevant articles were analysed to extract conclusions.Results Concomitant pelviureteric junction obstruction (PUJO) and renal lithiasis has been reported only scarcely in the literature. Although PUJO has been extensively studied throughout the years, the presence of calculi in such a patient has not received equal attention and there is still doubt surrounding the pathophysiology and global management.Conclusions Metabolic risk factors appear to play an important role, enough to justify metabolic evaluation in these patients. Urinary stasis and infection are well known factors predisposing to lithiasis and contribute to some extent. The choice for treatment is not always straightforward. Management should be tailored according to degree of obstruction, renal function, patient symptoms and stone size. Simultaneous treatment is feasible with the aid of minimally invasive operative techniques and laparoscopy in particular.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Forming a stone in pelviureteric junction obstruction: cause or effect?

2017

View full text Add to dashboard Cite

show abstract

“…However, our study had a number of limitations, which should be discussed. Despite an extensive literature search and broad inclusion criteria, there is a distinct lack of studies reporting the underlying cause of PUJO in Stern et al [24] 10 6 4 ----Bove et al [17] 11 5 3 3 ---Wadsworth and McClennan [19] 5 1 ----4 Schuster et al [20] 9 7 --6 -3 Perlberg and Pfau [18] 3 3 -----Dajani et al [21] 4 ----4 -David and Lavengood [22] 17 Stern et al [24] LP 6 -Whitaker pressure reduction 6 (100%) 0 -Sivaraman et al [14] RALP 168 39 Resolution on imaging 164 (97.6%) 4-needed 2nd procedure 11 (6.6%) Bove et al [17] LP 11 32.6 "Asymptomatic" 10 (90.9%) 1-no decrease in RFT 2 (18.1%) Wadsworth and McClennan [19] Perlberg and Pfau [18] Vessel transection adults. Consequently, the final sample size was relatively small.…”

Section: Discussionmentioning

confidence: 99%

“…The quality was deemed "good" in 2 studies, [14,25] "satisfactory" in 6 studies, [16][17][18]20,23,24] and unsatisfactory in 4 studies. [15,19,21,22] .…”

Section: Methodological Characteristics and Quality Of Studiesmentioning

confidence: 99%

“…The Gold Journal 1.861 Stern et al [24] * / * / * * 4 Sivaraman et al [14] * / * * * * 5 Jacobs et al [15] * / * / / / 2 Richstone et al [16] * / * / * / 3 Boylu et al [25] * * * * * * 6 Bove et al [17] * / * / * * 4 Perlberg and Pfau [18] * / * / / * 3 Wadsworth and McClennan [19] * / * / / / 2 Lacey and Massouh [23] * / * / * * 4 Schuster et al [20] * / * / * * 4 Dajani et al [21] * / * / / / 2 David and Lavengood [22] / / * / * / 2…”

Section: Imaging and Site Of Obstructionmentioning

confidence: 99%

See 1 more Smart Citation

Pelviureteric junction obstruction in adults: A systematic review of the literature

O’Sullivan

Anderson

2022

Curr Urol

View full text Add to dashboard Cite

BackgroundPelviureteric junction obstruction (PUJO) is a common urological disorder that can present at any stage of life. The underlying etiology in children has been well studied; however, a gap exists in the literature for the adult population. Herein, we performed a systematic review of the literature to evaluate the current evidence on the underlying etiologies of adult patients presenting with PUJO.Materials and methodsFour electronic databases were searched for relevant studies assessing the underlying etiologies of pelviureteric junction obstruction in adults. Studies were assessed for eligibility based on predefined inclusion and exclusion criteria, and a critical appraisal of methodological quality and risk of bias was performed. Finally, qualitative and quantitative data analyses were performed.ResultsTwelve studies comprising a total of 513 patients with radiologically confirmed PUJO met the inclusion criteria and were included in our analysis. The most common finding was crossing vessels, which were observed in 50.5% of patients, followed by intrinsic ureteral stenosis (27.1%), adhesions (15.3%), and high insertion of the ureter (10.1%).ConclusionsThe underlying etiologies of PUJO in adults remain unclear. This study indicated that obstruction secondary to crossing vessels is the most common cause of obstruction in adults and occurs more frequently than in the pediatric population.

show abstract

Lithiasis in cystic kidney disease and malformations of the urinary tract

et al. 2006

View full text Add to dashboard Cite

The prevalence of renal stones in renal cystic and malformative conditions exceeds the prevalence of renal stones in the general population, suggesting that the above-mentioned cystic and malformative disorders favor stone formation. Urinary stasis is generally assumed to play a major part in the pathogenesis of the nephrolithiasis associated with distorted renal anatomy due to a delayed washout of crystals and risk of urinary infections. However metabolic factors are also important in the pathogenesis of stones in these conditions. Indeed, metabolic abnormalities have been observed in the majority of stone-forming patients with conditions such as horseshoe kidney and ureteropelvic junction obstruction. Five different models of stone formation can be identified, depending on stone composition, risk of infection stones, and pathogenesis of renal cystic and malformative conditions. A proper metabolic evaluation should be conducted to diagnose specific, treatable metabolic disorders, thereby reducing the frequency of recurrent stone disease in these conditions as well.

show abstract

Ureteropelvic junction obstruction in nephrolithiasis

Cited by 12 publications

References 7 publications

Forming a stone in pelviureteric junction obstruction: cause or effect?

Forming a stone in pelviureteric junction obstruction: cause or effect?

Pelviureteric junction obstruction in adults: A systematic review of the literature

Lithiasis in cystic kidney disease and malformations of the urinary tract

Contact Info

Product

Resources

About