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Management of Benign Ureteral Strictures: Open Surgical Repair or Endoscopic Dilation?

1989; Lippincott Williams & Wilkins; Volume: 141; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)40742-7

1527-3792

Eugene V. Kramolowsky, Robert D. Tucker, Courtney M. Nelson,

Pediatric Urology and Nephrology Studies

No AccessJournal of Urology1 Feb 1989Management of Benign Ureteral Strictures: Open Surgical Repair or Endoscopic Dilation? Eugene V. Kramolowsky, Robert D. Tucker, and C.M.K. Nelson Eugene V. KramolowskyEugene V. Kramolowsky , Robert D. TuckerRobert D. Tucker , and C.M.K. NelsonC.M.K. Nelson View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)40742-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We reviewed 20 cases of ureteral strictures, 15 of which were secondary to ureteral trauma. Of the patients 6 were managed initially by open repair and 14 underwent endoscopic manipulation. All 6 open repairs were successful, compared to 9 of the 14 patients who underwent endoscopic dilation of the ureteral stricture. Of the 5 failures 3 were due to the inability to cannulate the strictured ureter with a guide wire and 2 failed to respond to balloon dilation. Of these 5 patients 4 were treated successfully by an open operation. There were no serious intraoperative or postoperative complications. The average hospitalization was less for the endoscopic group (2.1 days) compared to the open surgical group (8.3 days). Followup ranged from 6 to 48 months. © 1989 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGnessin E, Yossepowitch O, Holland R, Livne P and Lifshitz D (2009) Holmium Laser Endoureterotomy for Benign Ureteral Stricture: A Single Center ExperienceJournal of Urology, VOL. 182, NO. 6, (2775-2779), Online publication date: 1-Dec-2009.ANIDJAR M, MONGIAT-ARTUS P, BROULAND J, MERIA P, TEILLAC P, LE DUC A, BERTHON P and CUSSENOT O (2018) THERMAL RADIOFREQUENCY INDUCED PORCINE URETERAL STRICTURE: A CONVENIENT ENDOUROLOGIC MODELJournal of Urology, VOL. 161, NO. 1, (298-303), Online publication date: 1-Jan-1999.Stuart Wolf J, Elashry O and Clayman R (2018) Long-Term Results of Endoureterotomy for Benign Ureteral and Ureteroenteric StricturesJournal of Urology, VOL. 158, NO. 3, (759-764), Online publication date: 1-Sep-1997.Goldfischer E and Gerber G (2018) Endoscopic Management of Ureteral StricturesJournal of Urology, VOL. 157, NO. 3, (770-775), Online publication date: 1-Mar-1997.Conlin M, Gomella L and Bagley D (2018) Endoscopic Ureteroureterostomy for Obliterated Ureteral SegmentsJournal of Urology, VOL. 156, NO. 4, (1394-1399), Online publication date: 1-Oct-1996.Yamada S, Ono Y, Ohshima S and Miyake K (2018) Transurethral Ureteroscopic Ureterotomy Assisted by a Prior Balloon Dilation for Relieving Ureteral StricturesJournal of Urology, VOL. 153, NO. 5, (1418-1421), Online publication date: 1-May-1995.Gomez-Avraham I, Nguyen T and Drach G (2018) Ileal Patch Ureteroplasty for Repair of Ureteral Strictures: Clinical Application and Results in 4 PatientsJournal of Urology, VOL. 152, NO. 6 Part 1, (2000-2004), Online publication date: 1-Dec-1994.Assimos D, Patterson L and Taylor C (2018) Changing Incidence and Etiology of Iatrogenic Ureteral InjuriesJournal of Urology, VOL. 152, NO. 6 Part 2, (2240-2246), Online publication date: 1-Dec-1994.Urban D, Kerbl K, Clayman R and Mcdougall E (2018) Endo-Ureteroplasty with a Free Urothelial GraftJournal of Urology, VOL. 152, NO. 3, (910-915), Online publication date: 1-Sep-1994.Segura J (2018) Editorial CommentJournal of Urology, VOL. 152, NO. 1, (69-69), Online publication date: 1-Jul-1994.Alexander R, Thompson N, Pockaj B and Chang R (2018) Dilation of Lower Ureteral Strictures with Van Andel CathetersJournal of Urology, VOL. 152, NO. 1, (68-69), Online publication date: 1-Jul-1994.Dretler S and Young R (2018) Stone Granuloma: A Cause of Ureteral StrictureJournal of Urology, VOL. 150, NO. 6, (1800-1802), Online publication date: 1-Dec-1993.Aronson W, Barbaric Z, Fain J and Fuchs G (2018) Fluoroscopically Guided Incision of Ureteral Strictures in Pigs with the Cautery-Wire Balloon Catheter: A Phase 1 StudyJournal of Urology, VOL. 149, NO. 5 Part 1, (1178-1181), Online publication date: 1-May-1993.Ward A, Karanjia N and Russell A (2018) Ureteral Obstruction Following Aortobifemoral Bypass: Management by Endoscopic Balloon DilationJournal of Urology, VOL. 147, NO. 1, (120-122), Online publication date: 1-Jan-1992.Schneider A, Conrad S, Busch R and Otto U (2018) The Cold-Knife Technique for Endourological Management of Stenoses in the Upper Urinary TractJournal of Urology, VOL. 146, NO. 4, (961-965), Online publication date: 1-Oct-1991.Rodrigues Netto N, Ferreira U, Lemos G and Claro J (2018) Endourological Management of Ureteral StricturesJournal of Urology, VOL. 144, NO. 3, (631-634), Online publication date: 1-Sep-1990. Volume 141Issue 2February 1989Page: 285-286 Advertisement Copyright & Permissions© 1989 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Eugene V. Kramolowsky Current address: 5224 Monument Ave., Richmond, Virginia 23226. More articles by this author Robert D. Tucker More articles by this author C.M.K. Nelson More articles by this author Expand All Advertisement PDF downloadLoading ...