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Modern surgical strategies in the management of complex ureteral strictures.

Curr Opin Urol

March 2021

Department of Urology, Uro-Oncology, Robot Assisted and Reconstructive Urologic Surgery, University Hospital Cologne, Cologne, Germany.

Purpose Of Review: The purpose of this article is to outline the various therapeutic options of ureteral strictures.

Recent Findings: Ureteral strictures with consecutive hydronephrosis can be due to endourological and surgical procedures, inflammatory processes, radiation therapy as well as spontaneous passage of ureteral calculi. When planning surgical correction, stricture length, anatomical location as well as patients' characteristics like age, comorbidities and previous treatment in the peritoneal cavity, retroperitoneum or pelvis should be taken into consideration.

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Pyelo-ureteral necrosis after renal transplantation.

Int Urol Nephrol

September 2008

Department of Nephrology, University Clinical Center, University of Skopje, Vodnjanska 17, 1000 Skopje, Republic of Macedonia.

Because of the limited chance of receiving a kidney transplant (for several well-known reasons), a lot of desperate dialysis patients procure an unrelated donor kidney transplant against all medical advice. This type of renal paid transplantation is associated with many surgical complications and invasive opportunistic infections that increase the morbidity and mortality in this group of transplant recipients. In this report, we describe a case of a 22-year-old girl with a segmental infarction of the graft lower pole and a complete pyelo-ureteral necrosis as a consequence of some vascular damage, complicated by a pathohistological finding of an invasive candidiasis.

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Artificial ureters in renal transplantation.

Urology

November 2005

Division of Urology, Department of Surgery, Royal Victoria Hospital, McGill University Health Centre, Montreal, Quebec, Canada.

Ureteral strictures in transplanted renal units are initially managed by balloon dilation and indwelling stents. When endourologic management fails, ureteroneocystostomy or pyeloureteral anastomosis to the native ureter is the treatment of choice. Nevertheless, such procedures are not always successful.

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