Dual ureteral stent placement after redo laser endoureterotomy to manage persistent ureteral stricture
Autor: | Kazumi Taguchi, Masahiko Isogai, Takahiro Yasui, Ryosuke Ando, Kenichi Hasebe, Atsushi Okada, Keitaro Iida, Shuzo Hamamoto |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Urology Ureteral calculus Case Report Case presentation Case Reports urologic and male genital diseases lcsh:RC870-923 medicine balloon dilation ureteroscopic lithotripsy business.industry urogenital system Ureteral stents lcsh:Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications Surgery Stent placement surgical procedures operative dual stents placement laser endoureterotomy ureteral stricture Balloon dilation Ureteroscopic lithotripsy Ureteral Stricture business |
Zdroj: | IJU Case Reports, Vol 3, Iss 3, Pp 93-95 (2020) IJU Case Reports |
Popis: | Introduction Endourological intervention is a minimally invasive approach for the management of ureteral strictures. Contraindications to this approach include active infection, strictures of sizes >2 cm, and failure of endoureterotomy. This report demonstrates a case of successful dual stent placement after redo endoureterotomy. Case presentation A recurring ureteral stricture in a 69-year-old woman, who had undergone ureteroscopic lithotripsy for a right ureteral calculus 60 months earlier, was successfully managed by redo endoureterotomy. The procedure involved insertion of dual ureteral stents after endoluminal incision and balloon dilation. Ureteral stents were removed 8 weeks after the operation. No significant complications or signs of stricture were observed 42 months after endoscopic repair. Conclusion This minimally invasive and effective technique of dual ureteral stent placement following laser endoureterotomy successfully managed the recalcitrant ureteral stricture in a case with failed single stent placement following endoureterotomy. |
Databáze: | OpenAIRE |
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