Dr, Kaul,
Thank you for your response.
Some urologists think that UPJ obstruction also maybe the cause of kidney stone but there is no consensus. What is your opinon?
Also, I was recommended another approach is percutaneous stone removal combined with endopyelotomy (endoscopic incision of the UPJ narrowing). What is your take on this versus option 1 above - ?
Regards,
Leo
Hey Leo!
-Yes, I would recommend fixing PUJ obstruction. Even though it may not aggravate, it runs the risk of potential complications in future.
- I do not see a contraindication to option 1. In fact it has a high chance of success.
- A urography may help make a diagnosis but this may not be recommended with compromised renal function.
Hope this helps.
Take care!