Endopyelotomy for pelviureteric junction obstruction

Current evidence shows that endopyelotomy for pelviureteric junction (PUJ) obstruction is efficacious in the short and medium term although there is a risk of obstruction recurrence in the long term. The evidence on safety raises no major concerns. Therefore, this procedure may be used provided that normal arrangements are in place for clinical governance, consent and audit.

This procedure should be carried out only in units with specific expertise in endopyelotomy for PUJ obstruction, by specialist teams who can offer a range of procedures including laparoscopic pyeloplasty.