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Abstract The present study was conducted on seventy three patients suffering from -2 h 1 ureteric stenosis starting from the pelviureteric junction down to the ureteric :., orifice. They -xk .. were treated endoscopically in the period between January 1992 and May 1995. They were classified into two groups. Grow (A) : 3 I Thirty on--e patients with PUJO were treated by antegrade endopyelotomy. ,-,- 1 Y They ;were 23 ma& -and 8 fe~alesT. he diagnosis depended on the symptoms $0 ~v€!5tI_9\ \acYL-n a- s-s--w -e lLasJhe radiolog~cad-l ata m ainly I.V.U. Out of 31 cases only 4 cases were :! p4mana.q (congenital) 13 % and the rest wereseeur-rent=( iatrogenic) 87”/~: Cold - - - knife endopyelotomies were carried out by an experienced endourologist in 27 patients (87%) and hot loop diathermy in 4 (13%) with an insignificant difference between either of the proceduresF~eavarage:oP.erative- time was-97-minutes wit-h=a--meanh ospital stay of 6 days’) The follow-up period ranged from 12-40? months: Complete relief of PUJO was achieved in 25 patients giving a total success rate of 80.6%. Factors affectina our success were :- --The length of the stenosed segment with good and significant results in cases with 2 cm length or less. $A mqr - The degree of hydronephrosis with significant results in the cases with mild )((dilatation compared to thbse with marked redundant renal - The ipsilateral renal function state with significant results in cases with GFR > 20m l/m . Groun: Forty two patients suffering from ureteric stenosis. They-wer-e-30-mde5” and.-12*femalesi The patients were diagnosed in the light of symptoms and ~~e~u~d \ radiological d,ata mainly I.V.U. and diuretic-@nogram in questionable cases. |