[Percutaneous catheter dilatation of benign ureteral stenoses: indications, technic, results].
From June 1984 to December 1986 twenty-one benign ureteral stenoses were treated. After percutaneous nephropyelostomy an antegrade dilatation was performed by means of balloon catheters or increasing size of angiographic catheters. Subsequently an ureteral splinting with a F-12-catheter and a glucocorticoid therapy was followed. 13 strictures (61.9%) were treated successfully and in 3 cases (14.3%) an improvement of the obstruction and kidney function was obtained. In 5 patients (23.8%) the dilatation failed, in 2 of whom a nephrectomy was done. The failures occurred in cases with actinic and scarred-fibrotic strictures. The technical procedure, advantages and disadvantages of both dilatation methods were described. Treatment was complicated in 2 patients by the development of nephrolithiasis due to infection and in 2 further patients by acute pyelonephritis. Auxiliary measures of the dilatation therapy are a sufficient diuresis and an effective antibiotic therapy. In conclusion, the results are more dependent on the cause of stricture, than on the duration of disease and the used dilatation technique.
Thiel
U
U
Urologische Klinik, Klinikums Berlin-Buch.
Saschowa
P
P
Mansfeld
L
L
Ranft
R
R
Boitz
F
F
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D019736:Prostheses and Implants; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000628:therapy*; D014567:Urography
Perkutane Katheterdilatation benigner Ureterstenosen: Indikation, Technik, Ergebnisse.