Endoscopic Management of Ureteral Strictures: an Update

Jacob W. Lucas, Eric Ghiraldi, Jeffrey Ellis, Justin I. Friedlander

Research output: Contribution to journalReview articlepeer-review

60 Scopus citations

Abstract

Purpose of Review: This review focuses on the role of endoscopic treatment of ureteral stricture disease (USD) in the era of minimally invasive surgery. Recent Findings: There is a relative paucity of recent literature regarding the endoscopic treatment of USD. Laser endopyelotomy and balloon dilation are associated with good outcomes in treatment-naïve patients with short (OpenSPiltSPi 2 cm), non-ischemic, benign ureteral strictures with a functional renal unit. If stricture recurs, repetitive dilation and laser endopyleotomy is not recommended, as success rates are low in this scenario. Patients with low-complexity ureteroenteric strictures and transplant strictures may benefit from endoscopic treatment options, although formal reconstruction offers higher rates of success. Summary: Formal ureteral reconstruction remains the gold-standard treatment for ureteral stricture disease as it is associated with higher rates of complete resolution. However, in carefully selected patients, endoscopic treatment modalities provide a low-cost, low-morbidity alternative.

Original languageEnglish
Article number24
Pages (from-to)24
JournalCurrent Urology Reports
Volume19
Issue number4
DOIs
StatePublished - Apr 1 2018

Keywords

  • Constriction, Pathologic/etiology
  • Dilatation
  • Humans
  • Kidney Pelvis/surgery
  • Kidney Transplantation/adverse effects
  • Recurrence
  • Ureteral Obstruction/etiology
  • Ureteroscopy/methods

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