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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
PubMed
Summary

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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.

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  • 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.