[Ureteral stenosis. Endo-urologic treatment (dilatation). Experience with 43 cases]

Stricture of the ureter has been traditionally treated by open surgical techniques that occasionally had to be performed not without risk to the patient owing to the presence of septic and associated uremic conditions that invariably had a negative influence on the outcome. With the advent of endourological techniques in the last decade, much has been published on endoscopic treatment of the different areas of the urinary tract. One of the fields where important developments have taken place is that relative to endourological treatment of ureteric strictures. Since we started our therapeutic protocol for our patients in 1983 to date, we have treated 43 patients by dilatation. Patient follow up ranging from 6 months to 6 1/2 years (mean follow up greater than 30 months) revealed good results were achieved in 76.74%. The complications have been scant, mortality nil, and patients have been able to resume social and occupational activities early. All the foregoing prompt us to consider this therapeutic modality as the treatment of choice.