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[The endoscopic section of ureterosigmoid stenosis]
F Lovaco Castellano1, I Fernández González, E García Cuerpo
1Universidad de Alcalá de Henares, Madrid, España.
Archivos Espanoles De Urologia
|May 1, 1995
Summary
Endoscopic incision offers a valid treatment for ureterointestinal strictures in urinary diversion patients. This minimally invasive technique improves renal function, with open surgery as a backup if needed.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Ureterointestinal strictures can compromise renal units following urinary diversion.
- Current treatment options may involve open surgery, carrying significant morbidity.
Observation:
- A novel endoscopic incision technique using electrocautery is described.
- A combined percutaneous antegrade and transrectal approach facilitates stent placement and balloon dilation.
- The procedure involves invaginating the anastomosis into the rectal lumen before incision.
Findings:
- Postoperative radiological evaluation at three months demonstrated significant improvement in renal unit morphology and function.
- Endoscopic incision is a viable therapeutic option for ureterointestinal strictures.
Implications:
- This endoscopic approach provides a less invasive alternative to open surgery for ureterointestinal strictures.
- It offers potential for improved patient outcomes and reduced recovery times.
- Failure of this technique may necessitate subsequent open surgical intervention.