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 language | English (US) |
|---|---|
| Pages (from-to) | 89-92 |
| Number of pages | 4 |
| Journal | Journal of Reproductive Medicine for the Obstetrician and Gynecologist |
| Volume | 57 |
| Issue number | 1 |
| State | Published - Feb 2012 |
| Externally published | Yes |
Keywords
- Balloon dilation
- Endoscopy
- Ureteral obstruction
- Ureteroscopy
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology