Evidence snapshot
SP pyeloplasty has a small but growing evidence base, including the first dedicated series by Lenfant et al. 202017 and a non-narcotic, same-day-discharge pathway described at the Cleveland Clinic (Beksac et al. 2022).18
Clinical discussion
Suitability depends on anatomy, prior surgery, renal function, and symptom burden. Open, multiport robotic, and endoscopic alternatives exist; the choice is made after imaging review and informed discussion.