Endoscopic ureteroureterostomy for obliterated ureteral segments

Michael J. Conlin, Leonard G. Gomella, Demetrius H. Bagley

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Purpose: Advances in endourological techniques and instrument design have made the endoscopic treatment of complete ureteral obstruction a reasonable alternative to open surgery. We report our experience with endourological management of 10 cases of obliterated ureteral segments. Materials and Methods: Endoscopic ureteroureterostomy was performed in 8 patients with complete ureteral obstruction and it was not attempted in 2 because of the length or orientation of the obliterated segment. Results: Access, incision and stenting of the obliterated segment were technically successful in 8 patients. Two patients had patent ureters but required a stent, including 1 who underwent nephrectomy due to problems with stent management. Endoscopic treatment achieved long-term patency in 7 of the 8 cases and it was completely successful in 6 (75%) at a median followup of 87 months (range 4 to 126). Conclusions: Endoscopic ureteroureterostomy is a safe and effective technique for the management of obliterated ureteral segments less than 2 cm. long with adequate alignment.

Original languageEnglish (US)
Pages (from-to)1394-1399
Number of pages6
JournalJournal of Urology
Volume156
Issue number4
DOIs
StatePublished - Oct 1996
Externally publishedYes

Keywords

  • endoscopy
  • ureter
  • ureteral obstruction

ASJC Scopus subject areas

  • Urology

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