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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

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Related Experiment Video

Updated: Jul 15, 2026

A Mouse Model to Evaluate the Long-Term Structural and Functional Outcomes after the Reversal of Prolonged Unilateral Ureteric Obstruction
05:34

A Mouse Model to Evaluate the Long-Term Structural and Functional Outcomes after the Reversal of Prolonged Unilateral Ureteric Obstruction

Published on: July 18, 2025

Malignant ureteral obstruction: outcomes after intervention. Have things changed?

Lih-Ming Wong1, Laurence K Cleeve, Alvin D Milner

  • 1Division of Surgical Oncology, Urology, Peter MacCallum Cancer Centre, East Melbourne, Australia.

The Journal of Urology
|May 15, 2007
PubMed
Summary

Malignant ureteral obstruction decompression offers poor survival, with metastases and prior malignancy treatment being key negative prognostic factors. Complications remain high despite improved technical success.

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Last Updated: Jul 15, 2026

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Area of Science:

  • Urology
  • Oncology
  • Nephrology

Background:

  • Malignant ureteral obstruction significantly impacts patient outcomes.
  • Effective decompression strategies are crucial for managing this condition.

Purpose of the Study:

  • To analyze clinical outcomes of malignant ureteral obstruction decompression.
  • Identify prognostic factors, technical success, complication rates, and hospitalization duration.

Main Methods:

  • Retrospective analysis of 102 patients undergoing decompression for malignant ureteral obstruction (1991-2003).
  • Examined overall survival, prognostic factors, technical failure, complications, and hospitalization.

Main Results:

  • Median overall survival was 6.8 months; 12-month survival was 29%.
  • Metastases and prior malignancy treatment were associated with inferior survival.
  • Decompression technical success was 94%, but complication rates reached 53%.

Conclusions:

  • Overall survival for malignant ureteral obstruction remains poor.
  • Prognostic factors for decreased survival and prolonged hospitalization were identified.
  • While technical success has improved, complication rates post-decompression are still high.