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 language | English (US) |
|---|---|
| Pages (from-to) | 1619-1622 |
| Number of pages | 4 |
| Journal | Journal of Urology |
| Volume | 151 |
| Issue number | 6 |
| State | Published - 1994 |
| Externally published | Yes |
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Keywords
- balloon dilatation
- catheters, indwelling
- ureter
ASJC Scopus subject areas
- Urology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Intraureteral metallic self-expanding endoprosthesis (wallstent) in the treatment of difficult ureteral strictures
AU - Reinberg, Y.
AU - Ferral, H.
AU - Gonzalez, R.
AU - Manivel, J. C.
AU - Hulbert, J.
AU - Maynar, M.
AU - Pulido-Duque, J. M.
AU - Hunter, D.
AU - Castaneda-Zuniga, W. R.
PY - 1994
Y1 - 1994
N2 - 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.
AB - 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.
KW - balloon dilatation
KW - catheters, indwelling
KW - ureter
UR - http://www.scopus.com/inward/record.url?scp=0028334126&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028334126&partnerID=8YFLogxK
M3 - Article
C2 - 8189578
AN - SCOPUS:0028334126
VL - 151
SP - 1619
EP - 1622
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 6
ER -