Cold Cutting of Ureteral Stenosis With Endoscopic Scissors

Arrabal‐Martín, Miguel; Jiménez-Pacheco, Antonio; Arrabal-Polo, Miguel Ángel; Guardia, Francisco Valle-Díaz de la; López-Leon, Víctor Manuel; Zuluaga-Gomez, Armando

doi:10.1016/j.urology.2008.11.027

Cited by 1 publication

(1 citation statement)

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“…We opted to use cold cutting with endoscopic scissors because this technique enables greater control and visibility of the incision than a laser or with electric cutting. 17 Moreover, the scarring process after cold cutting produces less fibrosis than monopolar electric cutting, 18 thus improving the long-term results. In our study, oblique meatotomy performed with cold cutting using endoscopic scissors demonstrated a success rate of 94.5% at 36 months, with a low index of overall vesicoureteral reflux and its associated complications.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment of ureterovesical junction obstructive pathology: A description of the oblique meatotomy technique and results

Arrabal‐Martín¹,

Zuluaga-Gomez²,

Merino‐Salas³

et al. 2013

CUAJ

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original research E728Cite as: Can Urol Assoc J 2013;7(11-12):e728-31. http://dx.doi.org/10.5489/cuaj.496 Published online November 8, 2013. AbstractBackground: Benign obstructive pathology of the ureterovesical junction includes congenital and acquired illnesses. The objective of this study was to describe the endoscopic oblique meatotomy technique using scissors and cold cutting to treat benign obstructive pathology of the ureterovesical junction. Methods: From 2007 to 2012, we treated 18 patients with obstructive pathology of the ureterovesical junction (5 megaureters [3 with lithiasis], 4 iatrogenic stenoses, and 9 ureteroceles with lithiasis). In all cases, oblique meatotomy was performed using endoscopic scissors through an 8.5 Ch ureteroscope. The mean follow-up for all patients was 3 years. Pain, grade of hydronephrosis, and occurrence of vesicoureteral reflux were evaluated before and after treatment. Results: The mean endoscopic treatment time was 13.4 minutes. The procedure was performed on an outpatient basis with 6 hours of hospital admission, and a double J stent was inserted for 6 weeks. We achieved treatment success in 94.5% of patients after 3 years of follow-up. Only 1 patient presented with vesicoureteral reflux at 12 months after treatment; however, this condition did not require further treatment. Overall, 100% of patients remained free from lithiasis. There are 2 main limitations: the small number of patients and the lack of another group to compare the results of this technique; however, the aim of this work was to communicate a new technique to treat ureterovesical junction stricture Interpretation: Oblique ureteral meatotomy is a safe and effective treatment for benign obstructive pathology of the ureterovesical junction and has a low index of complications.

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Section: Discussionmentioning

confidence: 99%