IJU Case Reports (May 2020)

Dual ureteral stent placement after redo laser endoureterotomy to manage persistent ureteral stricture

  • Masahiko Isogai,
  • Shuzo Hamamoto,
  • Kenichi Hasebe,
  • Keitaro Iida,
  • Kazumi Taguchi,
  • Ryosuke Ando,
  • Atsushi Okada,
  • Takahiro Yasui

DOI
https://doi.org/10.1002/iju5.12152
Journal volume & issue
Vol. 3, no. 3
pp. 93 – 95

Abstract

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Introduction Endourological intervention is a minimally invasive approach for the management of ureteral strictures. Contraindications to this approach include active infection, strictures of sizes >2 cm, and failure of endoureterotomy. This report demonstrates a case of successful dual stent placement after redo endoureterotomy. Case presentation A recurring ureteral stricture in a 69‐year‐old woman, who had undergone ureteroscopic lithotripsy for a right ureteral calculus 60 months earlier, was successfully managed by redo endoureterotomy. The procedure involved insertion of dual ureteral stents after endoluminal incision and balloon dilation. Ureteral stents were removed 8 weeks after the operation. No significant complications or signs of stricture were observed 42 months after endoscopic repair. Conclusion This minimally invasive and effective technique of dual ureteral stent placement following laser endoureterotomy successfully managed the recalcitrant ureteral stricture in a case with failed single stent placement following endoureterotomy.

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