Work

Multimodal treatment for failed pyeloplasty: Description of a new technique

Year: 2025

Type: article

Abstract: In cases of failure after pyeloplasty, redo pyeloplasty remains the most definitive procedure, although it demands high technical expertise. In this context, we present a new multimodal surgical technique that combines laser endopyelotomy, dilation with a paclitaxel-dextran drug-coated balloon, and placement of a self-expandable ureteral stent for 3 months. Through 4 cases of failed pyeloplasty, we show resolution of ureteropelvic junction strictures after undergoing this multimodal procedure. The results of this series demonstrate a new treatment option in the challenging setting of pyeloplasty failure.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103302

Authors: Jorge Panach-Navarrete, Lorena Valls-González, Marcos Antonio Lloret-Durà, Ana Denia-Jàvega, José María Martínez Jabaloyas

Institutions: Universitat de València, Hospital Clínico Universitario de Valencia, INCLIVA Health Research Institute

Language: English

Topic: Pediatric Urology and Nephrology Studies

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160