Endourologic options for management of ureteropelvic junction obstruction in the pediatric patient

Endourologic intervention is becoming a more widely accepted modality in the management of pediatric UPJ obstruction. The authors present five factors that are important in selecting patients that will lead to a successful treatment and outline techniques for antegrade and retrograde endopyelotomy and balloon dilation. This article also reviews the recent literature on endourologic interventions in the management of pediatric UPJ obstruction. The authors conclude that pediatric endopyelotomy has an 86% success rate and should be offered as treatment for select pediatric patients with UPJ obstruction.