Analysis of the diagnosis and treatment of 68 cases of iatrogenic ureteral stricture
10.3969/j.issn.1009-8291.2023.07.014
- VernacularTitle:医源性输尿管狭窄68例诊治分析
- Author:
Peng ZHANG
1
;
Bingwei HUANG
1
;
Guicao YIN
2
;
Shengqi ZHENG
2
;
Zhe LI
1
;
Shuo QIAO
3
;
Xuesong LI
4
Author Information
1. Department of Urology, Emergency General Hospital, Beijing 100028
2. Department of Urology, Affiliated Hospital of Yangzhou University, Yangzhou 225000
3. The First Department of Surgery, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102
4. Department of Urology, Peking University First Hospital, Beijing 100034, China
- Publication Type:Journal Article
- Keywords:
ureteral stricture;
iatrogenic injury;
urinary tract repair;
ureteroscopic lithotripsy;
lingual mucosal graft;
ureteroplasty
- From:
Journal of Modern Urology
2023;28(7):613-618
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the common etiology, characteristics and treatment of iatrogenic ureteral stricture. 【Methods】 The clinical data of 226 patients with ureteral stricture repaired during May 2019 and Mar. 2022 were retrospectively analyzed, including 68 cases of iatrogenic ureteral stricture. According to the etiology, the patients were divided into urinary group and non-urinary group. 【Results】 There were 42 females and 26 males, aged 25 to 67 (average 49.0±10.4) years. Upper ureteral stricture was detected in 24 (35.3%) cases, who received oral mucosal repair of the ureter. Middle ureteral stricture was detected in 12 (17.6%) cases, who underwent ileal ureterography. Lower ureteral stricture was observed in 24 (35.3%) cases, who were treated with vesical wall flap ureteroplasty. Full-length stricture was observed in 8 (11.8%) cases,who were treated with ileal ureterography. There were significant differences in age, gender, stenosis side, stenosis location and length, surgical methods and types between patients in the urinary group and non-urinary group (P<0.05). During the follow-up of 8 to 20 (average 12.3±5.6) months, the symptoms and renal function of all patients improved, and no recurrence occurred. 【Conclusion】 Invasive endourological surgery is the most common cause of iatrogenic ureteral stenosis. Different treatment strategies should be adopted according to patients’ condition, time of diagnosis and location and length of ureteral injury.
