| Endourologic management of benign ureteral strictures with and without compromised vascular supply. | |
| | |
MedLine Citation:
|
PMID: 10792072 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To retrospectively assess the efficacy of balloon dilation, endopyelotomy/ureterotomy, and stenting alone in the management of benign ureteral strictures with intact or compromised vascular supply. METHODS: One hundred fourteen patients with benign ureteral strictures were assessed after at least a 2-year follow-up (range 2 to 16 years, mean 6.3). Balloon dilation was performed in 81, endopyelotomy/ureterotomy with temporary stenting in 27, and ureteral stenting alone in 6 patients. Ureteral strictures were divided into strictures with intact or with compromised vascular supply. RESULTS: Balloon dilation was successful in short ureteral strictures with intact vascular supply in 33 of 37 (89.2%), but only in 3 of 8 (37.5%) long ureteral strictures and in 1 of 2 (50%) recurrent ureteropelvic junction strictures. Balloon dilation was less successful when the vascular supply was compromised in 2 (40%) of 5 short strictures, 1 (16.7%) of 6 long strictures, and 2 (33.3%) of 6 recurrent ureteropelvic junction strictures. Endopyelotomy/ureterotomy was successful in 17 (89.5%) of 19 strictures with compromised vascular supply. CONCLUSIONS: Balloon dilation is recommended for management of short strictures with intact vascular supply. Endoureterotomy with stenting is recommended for all long ureteral strictures, for ureteropelvic junction stenoses, and for short ureteral strictures with compromised vascular supply and benign underlying etiology. |
| | |
Authors:
|
F Richter; R J Irwin; R A Watson; E K Lang |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Urology Volume: 55 ISSN: 0090-4295 ISO Abbreviation: Urology Publication Date: 2000 May |
Date Detail:
|
Created Date: 2000-05-30 Completed Date: 2000-05-30 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0366151 Medline TA: Urology Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 652-7 Citation Subset: IM |
Affiliation:
|
Section of Urology, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Male Middle Aged Retrospective Studies Stents Ureter / blood supply Ureteral Obstruction / complications, surgery* Ureteroscopy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Initial assessment of a new preparatory tool for board certification in urology.
Next Document: Using technetium-99M dimercaptosuccinic acid renal cortex scintigraphy to differentiate acute pyelon...