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Endoureterotomy

  • Chapter
Advanced Endourology

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Although not as widely reported as the endoscopic treatment of ureteropelvic junction obstruction, endoureteromy for ureteral obstruction at other sites is nonetheless an effective minimally invasive procedure. Most ureteral strictures other than at the ureteropelvic junction are acquired, and are very often iatrogenic. Endoureterotomy for distal and upper ureteral strictures less than 2 cm and not associated with radiation or other ischemic injury is highly successful and results in minimal morbidity. Strictures longer than 2 cm, those associated with radiation or ischemic injury, and some in a middle ureteral location may be managed more appropriately by open reconstruction because of the increased failure rate of endoureterotomy in these patients. Importantly, failure to establish patency with endoureterotomy does not preclude a successful open surgical reconstruction.

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Author information

Authors and Affiliations

  1. Department of Urology, University of Michigan Medical School, Ann Arbor, MI

    Khaled S. Hafez MD & J. Stuart Wolf Jr. MD

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  1. Khaled S. Hafez MD
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  2. J. Stuart Wolf Jr. MD
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Editors and Affiliations

  1. The University of Wisconsin Medical School, Madison, WI

    Stephen Y. Nakada MD

  2. The University of Texas Southwestern Medical Center, Dallas, TX

    Margaret S. Pearle MD, PhD

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© 2006 Humana Press Inc., Totowa, NJ

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Hafez, K.S., Wolf, J.S. (2006). Endoureterotomy. In: Nakada, S.Y., Pearle, M.S. (eds) Advanced Endourology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59259-954-7_13

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  • DOI: https://doi.org/10.1007/978-1-59259-954-7_13

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-446-3

  • Online ISBN: 978-1-59259-954-7

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