Universität zu Köln

Heidenreich, Axel, Grabbert, Markus, Kohl, Tobias and Pfister, David (2017). Reconstructive surgery of ureteral stricture disease. Aktuelle Urol., 48 (6). S. 550 - 561. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8820

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Abstract

Ureteral strictures with consecutive hydronephrosis may result from endourological or surgical intraperitoneal and intrapelvic procedures, intra-or extraluminal inflammatory processes, radiation therapy to adjacent organs, and spontaneous passage of ureteral calculi. Anatomical location, stricture length, age and comorbidities of the patient as well as previous surgeries in the peritoneal cavity and the retroperitoneum or pelvis minor have to be considered when planning surgical correction. Treatment options include various surgical techniques ranging from simple stricture excision and end-to-end anastomosis to ureterolysis with omental wrapping, ureteroneoimplantation, renal autotransplantation and ureter-ileum replacement. Besides surgical reconstruction, minimally-invasive procedures such as the placement of self-expandable thermostents or a pyelovesical bypass prosthesis must be integrated in the process of differential therapy. If the indication for surgery is adequate, all procedures have a long-term success rate of more than 90% and a rate of significant complications < 5 %. This article aims to highlight the various therapeutic options and to give some recommendations on how to select individual treatment options.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Heidenreich, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Grabbert, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Kohl, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, David UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-208402
DOI:	10.1055/s-0043-120806
Journal or Publication Title:	Aktuelle Urol.
Volume:	48
Number:	6
Page Range:	S. 550 - 561
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8820
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SUBCUTANEOUS PYELOVESICAL BYPASS; LAPAROSCOPIC REDO-PYELOPLASTY; PALLIATIVE URINARY-DIVERSION; SINGLE-CENTER EXPERIENCE; QUALITY-OF-LIFE; RETROPERITONEAL FIBROSIS; RENAL PELVIS; RETROCAVAL URETER; ILEAL-URETER; BOARI FLAP Multiple languages Urology & Nephrology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20840