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 journalArticle

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 2012
Externally publishedYes

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Dilatation
Pathologic Constriction
Reconstructive Surgical Procedures
Ureteroscopy
Hydronephrosis
Replantation
Wounds and Injuries
Laparotomy
Kidney

Keywords

  • Balloon dilation
  • Endoscopy
  • Ureteral obstruction
  • Ureteroscopy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Endoscopic balloon dilation in the management of ureteral stricture after urogynecologic surgery : A case report. / Lazarou, George; Rahimi, Salma; Cui, Nuan; Zormpa, Maria.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 57, No. 1, 02.2012, p. 89-92.

Research output: Contribution to journalArticle

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