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Updated: May 8, 2026

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Endoscopic methods for the correction of ureteral strictures]
Urologiia (Moscow, Russia : 1999)
|August 31, 2013
Summary
Laser endoureterotomy offers a 100% success rate for ureteropelvic junction (UPJ) and ureter strictures. Minimally invasive endoscopic correction effectively treats these conditions in 80% of patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
Context:
- Ureteral strictures, including ureteropelvic junction (UPJ) obstruction, affect patients of various ages.
- Surgical intervention is often required to restore ureteral continuity.
Purpose:
- To evaluate the efficacy of different endoscopic techniques for treating ureteral strictures.
- To compare the success rates of balloon dilation, cold knife endoureteropielotomy, probing with ureteral stenting, and holmium laser endoureteropielotomy.
Summary:
- Eighty patients with UPJ and ureter strictures underwent various endoscopic procedures.
- Success rates varied: balloon dilation (73.3%), cold knife (77.8%), probing with stenting (82.6%), and holmium laser (100%).
- Endoscopic correction restored ureteral continuity in 80% of patients, including those with stones.
Impact:
- Holmium laser endoureteropielotomy demonstrates superior efficacy (100%) in treating ureteral strictures.
- Endoscopic approaches provide a minimally invasive alternative to open surgery for UPJ and ureter strictures.
- These findings support the use of endoscopic techniques for improved patient outcomes in ureteral stricture management.
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