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

IJU Case Reports

article

Genta Iwamoto¹  Takashi Kawahara¹  Teppei Takeshima¹  Sahoko Ninomiya¹  Daiji Takamoto¹  Taku Mochizuki¹  Shinnosuke Kuroda¹  Masahiro Yao²  Hiroji Uemura¹ 

[1] Departments of Urology and Renal Transplantation, Yokohama City University Medical Center;Department of Urology, Yokohama City University Graduate School of Medicine

关键词: balloon dilation;    hydronephrosis;    metallic ureteral stent;    ureteral injury;    ureteral stricture.;   

DOI  :  10.1002/iju5.12061

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

Introduction Iatrogenic 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 presentation A 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. Conclusion We encountered a case of severe ureteral stenosis after total hysterectomy that was successfully treated endoscopically using ureteroscopy via an antegrade approach.

【 授权许可】

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