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Inflammatory ureteral strictures after ureteroileal diversion
The Journal of Urology
|April 1, 1983
Summary
Inflammatory ureteral strictures can occur after ureteroileal diversion, leading to dense blockages. Early diagnosis using percutaneous nephrostomy and antegrade studies is crucial for managing these urinary tract complications.
Area of Science:
- Urology
- Surgical Complications
- Nephrology
Background:
- Ureteroileal diversion is a surgical technique used for urinary tract reconstruction.
- Inflammatory complications can arise post-diversion, impacting ureteral function.
- Ureteral strictures present a significant challenge in managing patients with urinary diversions.
Observation:
- Two patients developed histologically confirmed inflammatory ureteral strictures.
- These strictures were dense and impassable, located near the ureteroileal junction.
- Clinical symptoms, including urosepsis and septicemia, preceded the stricture development.
Findings:
- Inflammatory strictures of the ureter are a potential complication following ureteroileal diversion.
- The strictures were severe, causing significant obstruction proximal to the ureteroileal anastomosis.
- Acute infectious episodes (urosepsis, septicemia) were associated with the onset of these strictures.
Implications:
- Percutaneous nephrostomy is a valuable diagnostic tool for evaluating ureteral obstruction.
- Antegrade studies are essential for precise diagnosis of ureteroileal diversion complications.
- Timely diagnosis and intervention are critical for managing post-diversion ureteral strictures and preventing sepsis.