Endoscopic ureteroneocystostomy for complete obstruction at the ureterovesical junction

被引:13
作者
Strup, SE [1 ]
Bagley, DH [1 ]
机构
[1] THOMAS JEFFERSON UNIV,JEFFERSON MED COLL,DEPT UROL,PHILADELPHIA,PA 19107
关键词
endoscopy; cystostomy; bladder diseases; ureter; urination disorders;
D O I
10.1016/S0022-5347(01)65850-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We evaluated the technical and long-term success of endoscopic ureteroneocystostomy in patients with complete obstruction of the distal ureter. Materials and Methods: We treated 7 patients with complete obstruction at the ureterovesical junction via a combined antegrade and retrograde endoscopic approach (endoscopic ureteroneocystostomy). The etiology of obstruction included ureteroscopy for ureteral calculi in 3 patients and previous resection of bladder tumors or the prostate in 4. Six patients had proximal drainage with a percutaneous nephrostomy catheter at referral. An antegrade approach was used for localization, and a retrograde approach was used for direct visual ureteral meatotomy or ureterotomy with the endoscopic scissors or a cold-knife urethrotome. Results: Continuity at the ureterovesical junction was restored in all 7 patients, and 6 are currently stricture-free with followup of 14 to 64 months. The sole failure in this series was due to recurrent invasive transitional cell carcinoma. Conclusions: Endoscopic ureteroneocystostomy is a safe and effective treatment of complete obstruction of the ureterovesical junction.
引用
收藏
页码:360 / 362
页数:3
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