Benjamin K. Canales, MD, MPH presented “UPJO Management: Cut, Construct, or Check” during the 42nd Annual Ralph E. Hopkins Urology Seminar on February 1, 2023, in Jackson Hole, Wyoming.
How to cite: Canales, Benjamin K. “UPJO Management: Cut, Construct, or Check.” February 1, 2023. Accessed Aug 2024. https://grandroundsinurology.com/upjo-management-cut-construct-or-check/
UPJO Management: Cut, Construct, or Check – Summary
Benjamin K. Canales, MD, MPH, discusses the pathophysiology and clinical presentation of UPJO, emphasizing its impact on renal function and patient quality of life. He outlines the diagnostic approach, including imaging techniques such as ultrasound, CT, and diuretic renography, which are essential for assessing the obstruction and guiding treatment decisions.
The presentation delves into the three primary management strategies for UPJO: surgical intervention, reconstructive techniques, and conservative monitoring. Dr. Canales provides a detailed analysis of each approach and discusses the indications, success rates, and potential complications of open, laparoscopic, and robotic-assisted pyeloplasty, offering insights into selecting the most appropriate surgical technique based on patient-specific factors.
Dr. Canales reviews the evidence supporting reconstructive techniques, including endopyelotomy and balloon dilation, as minimally invasive alternatives, highlighting their benefits and limitations. Conservative management and active surveillance are presented as viable options for patients with mild or asymptomatic UPJO.
About The 42nd Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 42nd iteration of the meeting took place from February 1st to 4th, 2023, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Benjamin K. Canales, MD, MPH is Associate Professor and Director of Urologic Research in the Department of Urology at the University of Florida College of Medicine.
Dr. Canales earned his medical degree from the Louisiana State University School of Medicine. He completed his residency at the University of Minnesota Medical School. In addition, he completed a fellowship in laparoscopy and endourology at the University of Minnesota. Dr. Canales’ postdoctoral training in the Department of Urologic Surgery at the University of Minnesota includes serving as Fellow and Clinical Instructor in laparoscopy, endourology, and robotics, completing a urology residency, and completing a general surgery internship.
Dr. Canales’ clinical interests include urologic stone disease, endourology and laparoscopy. He has particular clinical interests and skills in minimally invasive urologic surgery, laparoscopic nephrectomy, laparoscopic prostatectomy, laparoscopic partial nephrectomy, endourology, and
kidney stone disease/pathogenesis.
Dr. Canales has received numerous honors and awards over his career. Most recently, in 2022, Dr. Canales received the University of Florida College of Medicine Exemplary Teacher award. Dr. Canales serves on many academic and professional committees including the University of Florida College of Medicine Scientific Review Committee, the Endourological Society Research Committee, and the American Urological Association International Academic Fellowship Committee.
