{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T04:45:35Z","timestamp":1790484335139,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pelvi\u2010ureteric junction obstruction (PUJO) is defined as a functionally significant impairment of the flow of urine from the kidney\u2019s renal pelvis into the proximal ureter. Symptomatically, the patient may experience flank pain, recurrent infections, stone formation, and impairment of renal function. Although many cases of intrinsic PUJO are diagnosed at birth, a minority of patients may present in adulthood with previously silent disease or develop secondary PUJO to other causes. PUJO is therefore broadly categorised into both primary and secondary PUJO. A wide array of diagnostic scans and tests are available to aid in diagnosing and monitoring patients with PUJO. In patients with compromised renal function or symptomatic PUJO that require intervention, minimally invasive techniques are the \u2018gold standard\u2019 for surgical intervention. This review will detail the endoscopic, laparoscopic, and robotic options available to the urologist practicing in 2021, including the use of autografts and other emerging technologies.<\/jats:p>","DOI":"10.1111\/bju.15689","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T06:48:23Z","timestamp":1642574903000},"page":"285-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Contemporary diagnosis and management of pelvi\u2010ureteric junction obstruction"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0201-2438","authenticated-orcid":false,"given":"Arun","family":"Rai","sequence":"first","affiliation":[{"name":"Smith Institute for Urology, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell Northwell Health  New Hyde Park NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Scott Department of Urology Baylor College of Medicine  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Smith","sequence":"additional","affiliation":[{"name":"Smith Institute for Urology, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell Northwell Health  New Hyde Park NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,5]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"2129","volume-title":"Adult and Pediatric Urology","author":"Koff S","year":"2002"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2014.240"},{"key":"e_1_2_6_4_1","first-page":"42","article-title":"UPJ obstruction in the adult population: are crossing vessels significant?","volume":"3","author":"Grasso M","year":"2001","journal-title":"Rev Urol"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/59509"},{"key":"e_1_2_6_6_1","volume-title":"Ureteropelvic Junction Obstruction","author":"Al Aaraj MS","year":"2021"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62673-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(05)70004-5"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/UA.UA_110_18"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2013.11.004"},{"key":"e_1_2_6_11_1","first-page":"141","article-title":"Incidence of ureteral stricture after ureterorenoscopic pneumatic lithotripsy for distal ureteral calculi","volume":"83","author":"Ta\u015f S","year":"2011","journal-title":"Arch Ital Urol Androl"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.12.059"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-007-0059-8"},{"key":"e_1_2_6_14_1","first-page":"131","article-title":"A study to evaluate the role of Bun\/creatinine ratio as a discriminator factor in azotemia","volume":"40","author":"Suganya R","year":"2016","journal-title":"Int J Pharm Sci Rev Res"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2015.10.008"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(05)70011-2"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-6911-9.00041-4"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.11.011"},{"key":"e_1_2_6_19_1","first-page":"1219","article-title":"Understanding kidney injury molecule 1: a novel immune factor in kidney pathophysiology","volume":"11","author":"Song J","year":"2019","journal-title":"Am J Transl Res"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2020.09.005"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2019.03.009"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.57910"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(84)90240-1"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2539-5"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1998.12.335"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000132142.25717.08"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62757-5"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1993.7.151"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1990.4.109"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0191"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0837"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.06.115"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042307-200403000-00002"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119245193.ch103"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.12.050"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.06.024"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2012.03.002"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.11.015"},{"key":"e_1_2_6_39_1","unstructured":"TullyS OberlinJ DeMaioE et\u2009al.The superior efficacy and utility of ActivSight\u2122 Laser Speckle Imaging to indocyanine green (ICG)\u2010based fluorescence imaging in visualizing in\u2009vivo tissue perfusion and vasculature 2020. Available at:https:\/\/eventpilotadmin.com\/web\/page.php?page=IntHtml&project=SAGES20&id=E106702. Accessed January 2022"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15689","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bju.15689","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:50:56Z","timestamp":1761738656000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.15689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,5]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/bju.15689"],"URL":"https:\/\/doi.org\/10.1111\/bju.15689","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,5]]},"assertion":[{"value":"2021-07-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}