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Ureteral strictures following ureterolithotomy

A D Amar, S Das, N V Bulusu

    The Journal of Urology
    |March 1, 1981
    PubMed
    Summary

    Ureteral strictures after ureterolithotomy can cause obstruction. This study details successful management in 9 patients through varied reconstructive or reimplantation techniques, ensuring no complications over 2 years.

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    Area of Science:

    • Urology
    • Surgical Complications
    • Nephrology

    Background:

    • Ureteral strictures are a potential complication following ureterolithotomy.
    • Early recognition of these strictures can be challenging, often presenting with obstruction or recurrent stone impaction.

    Observation:

    • This study reports on the management of 9 patients with post-ureterolithotomy ureteral strictures.
    • Treatment strategies were individualized based on the stricture's location and the patient's renal function.

    Findings:

    • Management ranged from conservative approaches for non-functioning kidneys to surgical reconstruction or ureteral reimplantation.
    • All 9 patients experienced successful outcomes with no complications during a minimum 2-year follow-up period.

    Implications:

    • Individualized treatment plans are crucial for managing ureteral strictures post-ureterolithotomy.
    • Surgical reconstruction and reimplantation offer effective long-term solutions for these challenging cases.

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