Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures

Y. Reinberg, H. Ferral, R. Gonzalez, J. C. Manivel, J. Hulbert, M. Maynar, J. M. Pulido-Duque, D. Hunter, W. R. Castaneda-Zuniga

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Intractable and recurrent ureteral stricture presents a continuous challenge to the urologist. We report on 5 patients with severe ureteral stricture who were successfully treated with self-expanding metallic stents. Ureteral stricture occurred at ureteroileal anastomotic sites after neoplasm resection in 2 cases, multiple upper ureteral strictures were related to multiple surgical procedures for correction of bladder exstrophy in 1 and a ureteral kink developed in 1. Treatment with transluminal balloon dilation provided poor results but self-expanding metallic stents were used successfully with no major complications. In the last patient the stent and the overlying ureter were removed due to recurrent reflux; the gross and histological ureteral changes are discussed in detail. The technical approach is described, alternative therapeutic options are considered and pertinent literature is reviewed.

Original languageEnglish (US)
Pages (from-to)1619-1622
Number of pages4
JournalJournal of Urology
Volume151
Issue number6
StatePublished - 1994
Externally publishedYes

Fingerprint

Pathologic Constriction
Stents
Neoplasms by Site
Bladder Exstrophy
Therapeutics
Ureter
Dilatation

Keywords

  • balloon dilatation
  • catheters, indwelling
  • ureter

ASJC Scopus subject areas

  • Urology

Cite this

Reinberg, Y., Ferral, H., Gonzalez, R., Manivel, J. C., Hulbert, J., Maynar, M., ... Castaneda-Zuniga, W. R. (1994). Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures. Journal of Urology, 151(6), 1619-1622.

Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures. / Reinberg, Y.; Ferral, H.; Gonzalez, R.; Manivel, J. C.; Hulbert, J.; Maynar, M.; Pulido-Duque, J. M.; Hunter, D.; Castaneda-Zuniga, W. R.

In: Journal of Urology, Vol. 151, No. 6, 1994, p. 1619-1622.

Research output: Contribution to journalArticle

Reinberg, Y, Ferral, H, Gonzalez, R, Manivel, JC, Hulbert, J, Maynar, M, Pulido-Duque, JM, Hunter, D & Castaneda-Zuniga, WR 1994, 'Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures', Journal of Urology, vol. 151, no. 6, pp. 1619-1622.
Reinberg Y, Ferral H, Gonzalez R, Manivel JC, Hulbert J, Maynar M et al. Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures. Journal of Urology. 1994;151(6):1619-1622.
Reinberg, Y. ; Ferral, H. ; Gonzalez, R. ; Manivel, J. C. ; Hulbert, J. ; Maynar, M. ; Pulido-Duque, J. M. ; Hunter, D. ; Castaneda-Zuniga, W. R. / Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures. In: Journal of Urology. 1994 ; Vol. 151, No. 6. pp. 1619-1622.
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