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) |
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Pages (from-to) | 1619-1622 |
Number of pages | 4 |
Journal | Journal of Urology |
Volume | 151 |
Issue number | 6 |
DOIs | |
State | Published - Jan 1 1994 |
Keywords
- balloon dilatation
- catheters, indwelling
- ureter
ASJC Scopus subject areas
- Urology