Related Experiment Videos
Endoscopic ureteroureterostomy: long-term followup using a new technique
C K Tsai1, F C Taylor, M A Beaghler
1Divisions of Urology and Radiology, Loma Linda University Medical Center, Loma Linda, California, USA.
The Journal of Urology
|July 14, 2000
Summary
A novel ureteroscopy technique safely reestablished ureteral continuity in 10 cases. This minimally invasive endoscopic ureteroureterostomy offers an alternative to open surgery for ureteral reconstruction.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Endourology
Background:
- Ureteral strictures and obliterations pose significant reconstructive challenges.
- Previous methods often required open surgical intervention.
Purpose of the Study:
- To describe a new technique for reestablishing ureteral continuity using a single ureteroscope and fluoroscopy.
- To evaluate the safety and efficacy of this minimally invasive approach.
Main Methods:
- A novel technique combining ureteroscopy and a fluoroscopically guided antegrade snare was employed in 9 patients with obliterated ureteral segments.
- The procedure involved dilation and stenting of the affected ureteral segment.
Main Results:
- Ureteral continuity was successfully reestablished in all 10 attempts.
- At a mean follow-up of 16 months, patients were free of stents and obstruction.
- Three patients with ureterovaginal fistulas achieved a dry outcome.
Conclusions:
- Endoscopic ureteroureterostomy is a safe and effective minimally invasive technique.
- This approach should be considered prior to open surgical reconstruction for ureteral defects.