Successful treatment of ureteral stricture after total hysterectomy: An antegrade ureteroscopic approach facilitates the insertion of a guidewire for endoscopic dilation

INTRODUCTIONIatrogenic ureteral injury is sometimes seen in daily clinical practice, and gynecological surgery carries the highest risk of ureteral injury among iatrogenic surgical ureteral injury. CASE PRESENTATIONA 61-year-old woman was referred to our department for right ureteral stricture and h...

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Veröffentlicht in:IJU case reports 2019, Vol.2 (3), p.140-142
Hauptverfasser: Iwamoto, Genta, Kawahara, Takashi, Takeshima, Teppei, Ninomiya, Sahoko, Takamoto, Daiji, Mochizuki, Taku, Kuroda, Shinnosuke, Yao, Masahiro, Uemura, Hiroji
Format: Report
Sprache:eng
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Zusammenfassung:INTRODUCTIONIatrogenic ureteral injury is sometimes seen in daily clinical practice, and gynecological surgery carries the highest risk of ureteral injury among iatrogenic surgical ureteral injury. CASE PRESENTATIONA 61-year-old woman was referred to our department for right ureteral stricture and hydronephrosis after total hysterectomy. We initially attempted ureteral stenting, but hydronephrosis redeveloped 1 month after ureteral stent removal. We performed ureteroscopy via an antegrade approach and successfully incised and dilated the ureter. CONCLUSIONWe encountered a case of severe ureteral stenosis after total hysterectomy that was successfully treated endoscopically using ureteroscopy via an antegrade approach.
ISSN:2577-171X
DOI:10.1002/iju5.12061