ENDOUROLOGICAL TREATMENT OF URETEROENTERIC STRICTURES: EFFICACY OF ACUCISE* ENDOURETEROTOMY

Autor: Michael E. Mayo, William H. Bush, Daniel W. Lin
Rok vydání: 1999
Předmět:
Zdroj: Journal of Urology. 162:696-698
ISSN: 1527-3792
0022-5347
DOI: 10.1097/00005392-199909010-00017
Popis: Purpose: The Acucise endoureterotomy balloon catheter has proved to be a safe and effective alternative to open surgery for the management of ureteropelvic junction obstruction and benign ureteral stricture disease. The established management of ureteroenteric strictures following urinary diversion is open surgical revision. There are few reports evaluating the efficacy of Acucise endoureterotomy in patients with ureteroenteric strictures.Materials and Methods: The Acucise cutting balloon catheter was used to treat 9 patients with 12 ureteroenteric strictures 2 cm. or less in length. Median time from diversion to stricture was 48 months (range 13 to 192). Success was defined as resolution of symptoms and radiographic confirmation of patency.Results: Recurrence of malignancy accounted for failure in 1 patient with bilateral strictures. Of the remaining 10 benign strictures 7 (70%) required open revision or serial stent changes. The remaining 3 strictures in 2 patients have remained patent at 30 and...
Databáze: OpenAIRE