Multimodal treatment for failed pyeloplasty: Description of a new technique

In cases of failure after pyeloplasty, redo pyeloplasty remains the most definitive procedure, although it demands high technical expertise. In this context, we present a new multimodal surgical technique that combines laser endopyelotomy, dilation with a paclitaxel-dextran drug-coated balloon, and placement of a self-expandable ureteral stent for 3 months. Through 4 cases of failed pyeloplasty, we show resolution of ureteropelvic junction strictures after undergoing this multimodal procedure. The results of this series demonstrate a new treatment option in the challenging setting of pyeloplasty failure.