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

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36 Scopus citations

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
DOIs
StatePublished - Jan 1 1994

Keywords

  • balloon dilatation
  • catheters, indwelling
  • ureter

ASJC Scopus subject areas

  • Urology

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    Reinberg, Y., Ferral, H., Gonzalez, R., Manivel, J. C., Hulbert, J., Maynar, M., Pulido-Duque, J. M., Hunter, D., & 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. https://doi.org/10.1016/S0022-5347(17)35319-3