Endoscopic balloon dilation in the management of ureteral stricture after urogynecologic surgery: A case report

George Lazarou, Salma Rahimi, Nuan Cui, Maria Zormpa

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Ureteral injuries are known complications of urogynecologic surgery. Until now, ureteral reimplantation with laparotomy has been used in cases in which ureteral stenting of distal obstruction was unsuccessful. CASE: We report a case of a 74-year-old woman with a recognized right ureteral injury after vaginal reconstructive surgery that failed ureteral stenting to relieve the obstruction and who presented with ureteral stricture and mild hydronephrosis 6 weeks postoperatively. Ureteroscopy with endoscopic balloon dilation reduced the stricture successfully. The patient remains asymptomatic, with normal renal sonogram, 6 months after the procedure. CONCLUSION: Endoscopic balloon dilation is an effective technique that can be used for the management of ureteral strictures after urogynecologic surgery and avoids further surgical intervention.

Original languageEnglish (US)
Pages (from-to)89-92
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume57
Issue number1
StatePublished - Feb 1 2012

Keywords

  • Balloon dilation
  • Endoscopy
  • Ureteral obstruction
  • Ureteroscopy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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