Abstract | OBJECTIVES: We reviewed the results of percutaneous ureteral incisions for ureteroenteroanastomotic stricture using the holmium laser. METHODS: We performed this procedure through a 6.9-F flexible ureteroscope on 3 ureters in 3 patients. Balloon dilation was not necessary prior to insertion of the ureteroscope. The stricture was incised with the holmium laser with a 200-microm fiber through the working channel of the ureteroscope. After completion of the incision, a 12-F double-J ureteral stent was left in situ for 6 weeks. Thereafter, patients were followed with repeated renal scans, ultrasound, or both, and excretory urography at 3- to 6-month intervals. RESULTS: The stricture resolved completely in all cases at an average follow-up of 25.3 months (16 to 32 months). CONCLUSIONS: Although the number of treated patients was small, percutaneous ureteral incision for ureteroenteroanastomotic stricture using the holmium laser was associated with a good outcome. We recommend this procedure be considered initially because it is less invasive and has a favorable outcome.
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Authors | Hatsuki Hibi, Yoshiaki Yamada, Hitoshi Nonomura, Yukio Hatano, Kenji Mitsui, Tomohiro Taki, Nobuaki Honda, Hidetoshi Fukatsu |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2003 Apr-Jun
Vol. 7
Issue 2
Pg. 107-10
ISSN: 1086-8089 [Print] United States |
PMID | 12856839
(Publication Type: Journal Article)
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Topics |
- Humans
- Laser Therapy
- Male
- Middle Aged
- Stents
- Ureter
(surgery)
- Ureteral Obstruction
(surgery)
- Ureteroscopes
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