Technique Using a Percutaneous Nephroscope and Nephroscopic Scissors Transurethrally for Treatment of Complicated Orthotopic Ureterocele in Adult Women

İsen, Kenan

doi:10.1016/j.urology.2011.11.046

Urology

2012

DOI: 10.1016/j.urology.2011.11.046

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Technique Using a Percutaneous Nephroscope and Nephroscopic Scissors Transurethrally for Treatment of Complicated Orthotopic Ureterocele in Adult Women

Kenan İsen

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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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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

View full text Add to dashboard Cite

show abstract

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Technique Using a Percutaneous Nephroscope and Nephroscopic Scissors Transurethrally for Treatment of Complicated Orthotopic Ureterocele in Adult Women

Cited by 1 publication

References 11 publications

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

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

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