Long-term results of the treatment of complete distal ureteral stenosis using a cutting balloon catheter device.

Abstract

PURPOSE:

We evaluated the long-term efficacy of endoscopic treatment of complete distal ureteral stenosis using a cutting balloon catheter.

MATERIALS AND METHODS:

We performed a total of 10 procedures in 9 patients with complete distal ureteral stenosis at or near the ureterovesical junction. Depending on presenting anatomy cases were treated with a retrograde only (6), antegrade only (1) or combined antegrade and retrograde (3) endoscopic technique.

RESULTS:

At a mean followup of 36 months (range 24 to 43) 9 of the 10 procedures (90%) were successful. Stenosis recurred in 1 of the 9 patients (10%) but a repeat procedure was successful. There were no intraoperative complications and no procedures required open surgical conversion. Although all patients noticed a various degree of hematuria postoperatively, none required blood transfusion or further intervention. Mean hospitalization was 1.1 days.

CONCLUSIONS:

Endoscopic repair of distal ureteral stenosis using a cutting balloon catheter is a viable option in patients with complete ureteral obstruction. This technique results in low morbidity, a short hospital stay and excellent long-term patency. Endoscopic treatment using a cutting balloon catheter may be a therapeutic option in many patients with complete distal ureteral obstruction at or near the ureterovesical junction.

• Authors: D R Knowles, V R Staiman, M Gupta
• Journal: The Journal of urology (J Urol) Vol. 166 Issue 6 Pg. 2087-90 (Dec 2001) ISSN: 0022-5347 [Print] United States
• PMID: 11696712 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Catheterization
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Time Factors
• Ureteral Obstruction (surgery)
• Ureteroscopy
• Urinary Catheterization