Treatment of ureteral strictures after therapy for carcinoma of the uterus.
The long term result after the operative treatment of 29 ureteral strictures by various methods in 19 patients treated radically for a malignant tumor of the uterus was evaluated an average of 50 months after the urologic reconstructive surgery. Four patients died of repeat carcinoma and one patient died of a pulmonary embolism before the follow-up examination. In the other patients, a clinical examination, isotopic nephrography, intravenous pyelography, midstream culture and sediment as well as serum creatinine assay demonstrated that transureteroureterostomy resulted in a good, or satisfactory, outcome in patients with a unilateral stricture. A similar outcome was obtained by ileal replacement of the ureter, provided renal function had not been impaired preoperatively. The results obtained with the bladder flap operation, ureterolysis and cutaneous ureterostomy were poor. The significance of early detection and active therapy for strictures is emphasized. Nonradiated tissue should be used for the reconstructive procedure.
D002277:Carcinoma / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008722:Methods; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D014567:Urography; D014594:Uterine Neoplasms / Q000150:complications / Q000628:therapy*