Disorders of the ureteral stump; Analysis of 35 cases

Neagu, Valeriu; Ioanid, P C; Angelescu, N

doi:10.1007/bf02083383

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…8,9 In their case report, Ten Donkelaar et al noted that the narrow ureteric stump orifice may have been predisposed to stasis with consequent UTIs and stone formation. 11 Similarly, in our case, there was ureteric ostium stenosis preventing catheterization with a guide wire, furthermore, the dilated proximal end of the stump may suggest VUR. Therefore, we postulate that initial VUR with recurrent infections and repeated inflammations of the stump (stumpitis) probably led to stump stenosis, resulting in urinary stasis and the formation of stones.…”

Section: Discussionsupporting

confidence: 61%

“…Pre-existing or concurrent inflammation around the residual ureter. 11 Rose et al and others suggested that reflux of urine into the blind stump may act as a diverticulum with consequent poor urine drainage and recurrent UTIs, which have an essential role in the formation of calculi. 8,9 In their case report, Ten Donkelaar et al noted that the narrow ureteric stump orifice may have been predisposed to stasis with consequent UTIs and stone formation.…”

Section: Discussionmentioning

confidence: 99%

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De novo Stone Formation in Ureteric Stump Post-Nephrectomy

Mohamed

Abdalla

Omer

et al. 2023

Journal of Endoluminal Endourology

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Introduction: The leftover ureteric stump after a simple nephrectomy is rarely symptomatic. Here, we report a unique case of ureteric stump stones that likely developed de novo and patients became symptomatic. Case Report: We report the case of a 53-year-old female, who had benign right nephrectomy for a non-functioning kidney 17 years ago and presented with three years history of recurrent urinary tract infections and right-side abdominal pain. A continuous unenhanced computed tomography scan confirmed the presence of multiple de novo stones in the leftover ureteric stump, which was successfully treated by an open transperitoneal ureteric stumpectomy. She was asymptomatic at 12 months post-operative follow-up. We describe problems of leftover ureteric stumps and the possible pathophysiology of the stones formation in this group of patients. Conclusion: Albeit rare, various symptoms and complications can develop in the leftover stump, including stumpitis, urinary tract infections, and calculi. Therefore, discussion with patients of ureteric stump complications is recommended.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

De novo Stone Formation in Ureteric Stump Post-Nephrectomy

Mohamed

Abdalla

Omer

et al. 2023

Journal of Endoluminal Endourology

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The Ureteral Stump

Bergman¹,

Hotchkiss²

1981

The Ureter

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Incidence and complications of ureteral stump pathology

Burghele

Ioanid

Găleşanu

1979

International Urology and Nephrology

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The authors report on 58 patients with ureteral stump disease. Therapeutic errors, certain specific conditions, but also nephrectomies done for diseases other than pyelo-calyceal tumors and tuberculosis may increase the severity of ureteral stump pathology. The clinical symptoms are often vague, and are demonstrated too late. The incidence may be reduced and the outcome improved by removal of the ureter whenever favourable conditions for development exist, and by looking for them by efficient exploration and complete excision, if nephrectomy is followed by even less marked changes.

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Disorders of the ureteral stump; Analysis of 35 cases

Cited by 4 publications

References 12 publications

De novo Stone Formation in Ureteric Stump Post-Nephrectomy

De novo Stone Formation in Ureteric Stump Post-Nephrectomy

The Ureteral Stump

Incidence and complications of ureteral stump pathology

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