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  • Title: Acucise endopyelotomy: assessment of long-term durability.
    Author: Nadler RB, Rao GS, Pearle MS, Nakada SY, Clayman RV.
    Journal: J Urol; 1996 Sep; 156(3):1094-7; discussion 1097-8. PubMed ID: 8709315.
    Abstract:
    PURPOSE: We evaluated the long-term efficacy of Acucise endopyelotomy. MATERIALS AND METHODS: A total of 28 patients with 28 ureteropelvic junction obstructions was reevaluated 2 or more years after Acucise endopyelotomy (mean 32.5 months). Subjective analysis was done with analog pain scales and objective analysis was performed with diuretic renal scintigraphy. RESULTS: Subjective followup was available for all 28 patients, and 17 (61%) had a favorable response with 36% totally free of pain and 25% markedly improved. Among 26 patients with objective followup (93%) 21 (81%) had a patient ureteropelvic junction based on a diuretic renal scan with a half-time of less than 10 minutes or a normal Whitaker test. Among all regularly followed patients failure occurred uniformly within 1 year. CONCLUSIONS: Acucise endopyelotomy is an effective and durable method for treating ureteropelvic junction obstruction.
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