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 Nov 2025. 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’ 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.
