Treatment of transplant ureteral stricture with Acucise endoureterotomy: case report and literature review.
We report a patient who was diagnosed with end-stage renal disease and who received renal transplantation in her right iliac fossa in 2003. After transplantation, right hydronephrosis was noted on abdominal ultrasonography and right lower ureteral stricture was diagnosed by antegrade pyelography. She received ureter internal stent insertion three times, but hydronephrosis and urinary tract infection recurred after the stent was removed. Therefore, Acucise endoureterotomy was used to treat the recurrent ureteral stricture. The patient was discharged on the second postoperative day and abdominal ultrasonography revealed no hydronephrosis during regular follow-up.
Hsiao
Hsi-Lin
HL
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Li
Ching-Chia
CC
Chang
Tu-Hao
TH
Wu
Wen-Jeng
WJ
Chou
Yii-Her
YH
Shen
Jung-Tsung
JT
Jang
Mei-Yu
MY
Huang
Chun-Hsiung
CH
D004724:Endoscopy; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D015607:Stents; D014513:Ureter / Q000601:surgery*; D014517:Ureteral Obstruction / Q000601:surgery*