Step‐by‐step technique for the endoscopic treatment of ureteric stricture

Objective To outline our step‐by‐step technique for the endoscopic treatment of ureteric stricture. Materials and Methods Between January 2019 and June 2020, 25 patients with ureteric strictures underwent ureteric bypass and were included in this study. The ureteric bypass surgery included three key...

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Bibliographic Details
Published in:BJU international 2021-12, Vol.128 (6), p.692-696
Main Authors: Gao, Xiaoshuai, Chen, Jixiang, Wang, Wei, Peng, Liao, Di, Xingpeng, Xiao, Kaiwen, Li, Hong, Wei, Xin
Format: Article
Language:English
Subjects:
Adult
Aged
balloon dilatation
Balloon treatment
Constriction, Pathologic - complications
Constriction, Pathologic - diagnostic imaging
Constriction, Pathologic - surgery
Dilatation
endoscopic treatment
Endoscopy
Female
Fever
Fever - etiology
Heart surgery
Humans
Hydronephrosis - diagnostic imaging
Hydronephrosis - etiology
Hydronephrosis - surgery
Implants
Male
Middle Aged
Operative Time
Pain, Postoperative - etiology
Patients
Reconstructive surgery
Stents
Stricture
Treatment Outcome
Ureter
Ureter - diagnostic imaging
Ureter - pathology
Ureter - surgery
ureteric bypass
ureteric stricture
Ureteroscopy - adverse effects
Urologic Surgical Procedures - adverse effects
Urologic Surgical Procedures - methods
urology
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Summary:Objective To outline our step‐by‐step technique for the endoscopic treatment of ureteric stricture. Materials and Methods Between January 2019 and June 2020, 25 patients with ureteric strictures underwent ureteric bypass and were included in this study. The ureteric bypass surgery included three key steps. First, holmium laser endoureterotomy was used to establish a small channel. Then, balloon dilatation was performed to create a large channel. Finally, an Allium stent was inserted. Results Over a median follow‐up time of 12 months, the success rate of ureteric bypass surgery was 92.0% (23/25). The median operating time was 78 min. The incidence of pain was 16% (4/25), and the incidence of fever was 4.0% (1/25). The preoperative hydronephrosis volume and urea nitrogen levels decreased significantly after surgery. Conclusions We performed ureteric bypass for patients with ureteric strictures. This technique was found to be safe and effective over a short follow‐up time. For patients who are not suitable for surgical reconstruction, the ureteric bypass technique is a good choice.
ISSN:1464-4096
1464-410X
DOI:10.1111/bju.15558