Long-term follow-up of acucise incision of ureteropelvic junction obstruction and ureteral strictures

Cohen, Todd; Gross, Martha; Preminger, Glenn M.

doi:10.1016/s0090-4295(99)80445-2

Cited by 80 publications

(36 citation statements)

References 24 publications

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“…2,3,6,8 Although no studies compare current described endoscopic techniques (balloon dilatation, and laser, cold knife, or Acucise endoureterotomy) with open repair, there is some evidence that open repair yields higher success rates and can be used as definite therapy when endoscopic modalities fail. [3][4][5]7 Balloon dilation of benign ureteral and transplant strictures is well described. The efficacy of balloon dilation alone in the management of benign ureteral strictures ranges from 48% to 82% in recent series.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic techniques approach the success rates of reimplantation, ranging from 46% to 89% with the benefits of decreased morbidity and hospital stay, and early return to prehospitalization level of activity when compared with open techniques. 1,2,[5][6][7][8] We reviewed our experience with the management of benign ureteral strictures to determine the success rate of endoscopic surgery in a contemporary series and assessed the viability of surgical reimplantation in the modern era.…”

Section: Introductionmentioning

confidence: 99%

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Management of Benign Ureteral Strictures in the Endoscopic Era

Corcoran

Smaldone

Ricchiuti

et al. 2009

Journal of Endourology

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of Benign Ureteral Strictures in the Endoscopic Era

Corcoran

Smaldone

Ricchiuti

et al. 2009

Journal of Endourology

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“…[13] As for any form of endourologic management, success utilizing this technique depends on the length and vascularity of the involved segment. [112627] Although results for tuberculous ureteric stricture have not been described, Erdogru et al , reported good results in select group of patients using this technique. The favorable prognostic features were: length of stricture <1.5 cm, nonischemic nature of stricture, and adequate renal function.…”

Section: Endourologic Options For Management Of Ureteric Stricturementioning

confidence: 99%

Options in the management of tuberculous ureteric stricture

Goel¹,

Dalela²

2008

Indian J Urol

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Ureteric stricture is a feared manifestation of genitourinary tuberculosis (TB) with the commonest site being the lower ureter. The purpose of this review is to discuss the management options for this condition. Literature search was done using PubMed and all articles on TB and ureteric stricture were reviewed published between 1990 till September 2007. The exact site and length of stricture must be defined with radioimaging (intravenous urography, retrograde, or antegrade pyelography) and renal function be quantified. The treatment of stricture mostly requires some kind of intervention after a brief period of antituberculous medicines with or without steroids. For uncomplicated/simple strictures (short segment, passable, with renal function >25%, good bladder capacity) endourologic option should be used which usually means double-J stenting with or without balloon dilatation. For complicated/complex strictures (long segment, dense fibrosis, with renal function <20%, small bladder capacity) regular surgical options should be considered which usually means ureteroureterostomy or ureteropyelostomy for upper ureteric strictures, intubated ureterostomy, or transureteroureterostomy for midureteric strictures, psoas hitch/Boari flap for lower ureteric strictures or ileal ureter/autotransplantation for whole length/multiple strictures.

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“…Approximately 85% of these complications were minor [32]. Vascular injury requiring blood transfusion ranged from 3% to 6% and most often involved a lower pole accessory renal artery [28][29][30][31][32]41]. Bleeding may occur immediately after the incision or it may be delayed for several days [42].…”

Section: Complications Of Acucise Endopyelotomymentioning

confidence: 99%

Retrograde endopyelotomy: A comparison between laser and acucise balloon cutting catheter

El-Nahas

2007

Curr Urol Rep

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Endopyelotomy and laparoscopic pyeloplasty are the preferred modalities for treatment of ureteropelvic junction obstruction because of their minimally invasive nature. There are continuous efforts for improving endopyelotomy techniques and outcome. Retrograde access represents the natural evolution of endopyelotomy. The Acucise cutting balloon catheter (Applied Medical Resources Corp., Laguna Hills, CA) and ureteroscopic endopyelotomy using holmium laser are the most widely accepted techniques. The Acucise catheter was developed to simplify retrograde endopyelotomy and made it possible for all urologists, regardless of their endourologic skills. The Acucise catheter depends on incision and dilatation of the ureteropelvic junction under fluoroscopic guidance, whereas ureteroscopy allows visual control of the site, depth, and extent of the incision; the holmium laser is a perfect method for a clean precise incision. Review of the English literature showed that the Acucise technique was more widely performed, though laser had better (but not statistically significant) safety and efficacy profiles.

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Long-term follow-up of acucise incision of ureteropelvic junction obstruction and ureteral strictures

Cited by 80 publications

References 24 publications

Management of Benign Ureteral Strictures in the Endoscopic Era

Management of Benign Ureteral Strictures in the Endoscopic Era

Options in the management of tuberculous ureteric stricture

Retrograde endopyelotomy: A comparison between laser and acucise balloon cutting catheter

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