Cut‐to‐the‐light technique and potassium titanyl phosphate laser ureterotomy for complete ureteral obstruction

We describe a case of complete ureteral obstruction managed by endoscopic recanalization using a ‘cut‐to‐the‐light’ technique followed by potassium titanyl phosphate (KTP) laser ureterotomy. A 53‐year‐old man developed a ureteral obstruction following the transurethral resection of a bladder tumor (...

Full description

Saved in:
Bibliographic Details
Published in:International journal of urology 2004-06, Vol.11 (6), p.427-428
Main Authors: GODA, KAZUMASA, KAWABATA, GAKU, YASUFUKU, TOMIHIKO, HARA, ISAO, FUJISAWA, MASATO, KAMIDONO, SADAO, OKADA, HIROSHI
Format: Article
Language:English
Subjects:
complete ureteral obstruction
endoscopy
Endoscopy - methods
Humans
laser surgery
Laser Therapy - methods
Male
Middle Aged
Phosphates
Titanium
Ureteral Obstruction - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We describe a case of complete ureteral obstruction managed by endoscopic recanalization using a ‘cut‐to‐the‐light’ technique followed by potassium titanyl phosphate (KTP) laser ureterotomy. A 53‐year‐old man developed a ureteral obstruction following the transurethral resection of a bladder tumor (TUR‐Bt) at the left ureteral orifice. The length of the obstructed segment was estimated at 1 cm based on combined antegrade and retrograde contrast studies. Histopathological analysis indicated that the obstruction was caused by fibrosis. The ‘cut‐to‐the‐light’ technique was used for recanalization, and KTP laser ureterotomy was performed to obtain an adequate ureteral lumen. A 14 F/7 F endoureterotomy stent was removed 6 weeks after the operation. No significant complications and no signs of stenosis were observed 24 months after endoscopic repair. Endoscopic recanalization is a safe, effective technique for the management of a completely obliterated ureteral segment, especially in combination with subsequent KTP laser ureterotomy.
ISSN:0919-8172
1442-2042
DOI:10.1111/j.1442-2042.2004.00817.x