Endoscopic ureteroureterostomy for obliterated ureteral segments

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

    Research output: Contribution to journalArticle

    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

      Fingerprint

    Keywords

    • endoscopy
    • ureter
    • ureteral obstruction

    ASJC Scopus subject areas

    • Urology

    Cite this