Antegrade Percutaneous Balloon Dilation of Ureteral Strictures After Failed Pelviureteric or Ureterovesical Reimplantation in Children

Anastasescu, Robert; Merrot, Thierry; Chaumoître, Kathia; Panuel, M.; Alessandrini, P.

doi:10.1016/j.urology.2010.10.052

Cited by 5 publications

(5 citation statements)

References 24 publications

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“…Ureteral patency and graft-function rates at 100% after a median follow-up of 24 mos has also been reported when applied to ureterovesical anastomotic stricture after renal transplantation [3]. Balloon dilatation can be done antegrade with failures related to the severity of the stenosis [1,13]. The use of Acucise balloon incision was reported to lead to success in 83% of uretero-vesical strictures [14].…”

Section: Discussionmentioning

confidence: 94%

Uretero-vesical anastomotic stricture: a case report and review of management

Kyei¹,

Djagbletey²,

Klufio³

et al. 2021

HSI Journal

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Uretero-vesical anastomosis is the connection of the ureter to the urinary bladder at a new site to achieve unimpeded flow of urine from the ureters into the urinary bladder. A rare complication of this procedure is the development of stricture at the anastomotic site. This report is on a 62-yr. old female with one year history of left flank pain and a prior left uretero-vesical anastomosis done 14 years earlier. She had been managed for recurrent urinary tract infections, but the left flank pain was persistent. Abdominal and pelvic CT scan with intravenous urogram helped establish the diagnosis of uretero-vesical anastomotic stricture. This was successfully managed with endoscopic dilatation after retrograde placement of guide wire under fluoroscopy followed by serial dilation. In a patient presenting with flank pains after a previous uretero-vesical anastomosis, stricture at the anastomotic site is an important differential diagnosis. Endoscopic management is the preferred initial management which produces successful outcomes

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Section: Discussionmentioning

confidence: 94%

Uretero-vesical anastomotic stricture: a case report and review of management

Kyei¹,

Djagbletey²,

Klufio³

et al. 2021

HSI Journal

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“…Some patients failed to achieve the expected outcome after pyeloplasty for upper ureteral stricture, and the second surgery was more difficult because of severe scarring and fibrosis [ 29 ]. In this study, we found that the success rate of the primary treatment of upper ureteral stricture with balloon dilation was higher than that of the second surgery with balloon dilation after the failure of the primary pyeloplasty.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Efficacy and Risk Factors for Failure of Balloon Dilation for Benign Ureteral Stricture

Wang

Gao

Yang

et al. 2023

JCM

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This study aimed to investigate the efficacy of balloon dilation in ureteral stricture and to analyze the risk factors for the failure of balloon dilation, which will hopefully provide some reference for clinicians to develop treatment plans. We retrospectively analyzed 196 patients who underwent balloon dilation between January 2012 and August 2022, 127 of whom had complete baseline and follow-up data. General clinical data, perioperative data, balloon parameters at the time of surgery, and follow-up results were collected from the patients. Univariate and multivariate logistic regression analyses were performed for the risk factors for surgical failure in patients undergoing balloon dilatation. The success rates of balloon dilatation (n = 30) and balloon dilatation combined with endoureterotomy (n = 37) for lower ureteral stricture at 3 months, 6 months, and 1 year were 81.08%, 78.38%, and 78.38% and 90%, 90%, and 86.67%, respectively. The success rates of balloon dilation at 3 months, 6 months, and 1 year in patients with recurrent upper ureteral stricture after pyeloplasty (n = 15) and primary treatment (n = 30) were 73.33%, 60%, and 53.33% and 80%, 80%, and 73.33%, respectively. The success rates of surgery at 3 months, 6 months, and 1 year for patients with recurrence of lower ureteral stricture after ureteral reimplantation or endoureterotomy (n = 4) and primary treatment with balloon dilatation (n = 34) were 75%, 75%, and 75% and 85.29%, 79.41%, and 79.41%, respectively. Multivariate analysis of the failure of balloon dilation showed that balloon circumference and multiple ureteral strictures were risk factors for balloon dilation failure (OR = 0.143, 95% CI: 0.023–0.895, p = 0.038; OR = 1.221, 95% CI: 1.002–1.491, p = 0.05). Balloon dilation combined with endoureterotomy in lower ureteral stricture had a higher success rate than balloon dilation alone. The success rate of balloon dilation in the primary treatment of the upper and lower ureter was higher than that of balloon dilation in the secondary treatment after failed repair surgery. Balloon circumference and multiple ureteral strictures are risk factors for balloon dilation failure.

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“…While this procedure allows for lower perioperative morbidity and shorter hospitalisation, some complications include renal haemorrhage, urinary tract infections and urinoma. 88 Overall, balloon dilatation is a minimally invasive procedure with acceptable results for benign short strictures and should be considered as first line management in such strictures.…”

Section: Balloon Dilatationmentioning

confidence: 99%

“…While this procedure allows for lower perioperative morbidity and shorter hospitalisation, some complications include renal haemorrhage, urinary tract infections and urinoma. 88…”

Section: Endoscopic Managementmentioning

confidence: 99%

Contemporary management of ureteral strictures

Vasudevan

Johnson

Wong

et al. 2018

Journal of Clinical Urology

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An understanding of the aetiology of a ureteral stricture is crucial to determining the appropriate course of management. Many times, the aetiology of a ureteral stricture can fall under the umbrella of benign or malignant disease, as well as the secondary effect of intrinsic or extrinsic ureteral obstruction. Whether benign or malignant, most ureteral strictures form after a period of prolonged ischaemia leading to inflammation, fibrosis and stricture formation. Often a histological examination of tissue from a ureteral stricture will reveal inflammation, collagen deposition and fibrosis. Among the most common causes of malignant ureteral stricture are urothelial carcinoma, or metastatic cervical, prostatic, ovarian, breast and colon cancer. 1 Lower ureteral

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Antegrade Percutaneous Balloon Dilation of Ureteral Strictures After Failed Pelviureteric or Ureterovesical Reimplantation in Children

Cited by 5 publications

References 24 publications

Uretero-vesical anastomotic stricture: a case report and review of management

Uretero-vesical anastomotic stricture: a case report and review of management

Analysis of the Efficacy and Risk Factors for Failure of Balloon Dilation for Benign Ureteral Stricture

Contemporary management of ureteral strictures

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