Minimally invasive management of ureteral strictures: A 5-year retrospective study
World Journal of Urology Aug 10, 2019
Reus C, et al. - Data of 59 consecutive individuals who underwent minimally invasive treatment for symptomatic ureteric strictures was recruited in a retrospective study by the researchers in order to evaluate the long-term efficiency of minimally invasive treatment in benign and malignant ureteric strictures. Forty-three individuals were eligible for retrospective final evaluation. The biggest proportion of strictures happened after surgery combined with radiotherapy 8/43. In 30/43, preoperative decompression was needed. Thirty-two, ten and one of 43 balloon dilatations, catheter dilatations, and laser incision, respectively, were recognized. The overall success rate was 31/43. All six recurrences happened within 36 months with four within the first 12 months. Three of the six individuals were successfully re-dilated. In conclusion, minimally invasive treatment was a useful alternative in strictures because of former radiation and/or surgical treatment of malignancies. Nonetheless, late recurrences were noted, hence, patients should be subject to long-term follow-up. Furthermore, re-dilatation may be needed.Go to Original
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