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[Ureteroenteric strictures: endourological treatment]
José Ramón Cansino Alcaide1, José Carlos Pacios Cantero, Sergio Alonso y Gregorio
1Servicio de Urología, Hospital Universitario La Paz, Madrid, España. urocansino@yahoo.es
Archivos Espanoles De Urologia
|August 5, 2005
Summary
Endourological techniques, including balloon dilation and endoscopic incision, offer effective short- and mid-term functional results for ureteroenteric strictures. These minimally invasive methods provide a viable alternative to aggressive open surgery for select patients.
Area of Science:
- Urology
- Endourology
- Minimally Invasive Surgery
Background:
- Ureteroenteric strictures can arise post-surgery, impacting renal function.
- Traditional open surgery may be too aggressive for certain patient populations due to comorbidities or age.
Purpose of the Study:
- To evaluate the outcomes of endourological treatments for ureteroenteric strictures.
- To compare these results with existing literature.
Main Methods:
- Retrospective review of 27 ureteroenteric strictures treated between March 1994 and June 2003.
- Treatments included balloon dilation with double J catheter placement and endoscopic incision with double J catheter placement.
Main Results:
- 57.14% (12/21) of renal units showed improvement or stability.
- No major intraoperative complications were reported, with one late mortality due to septicemia in a patient with a poor prognosis.
Conclusions:
- Endourological treatment provides good short- and mid-term functional outcomes for ureteroenteric strictures.
- These techniques serve as a less aggressive alternative to open surgery for high-risk patients.