Korean J Urol.  1995 Jan;36(1):83-90.

The Experience of the Percutaneous Balloon Dilatation in the Treatment of Ureteral Stricture

• Bok TS
• Kim YW
• Kim JJ

Abstract

Surgical treatment have been gold standard in most cases of ureteral stricture and it`s effects were not satisfactory. Recently nonoperative dilatation offer attractive alternatives to surgery in the treatment of urodynamically significant ureteral strictures. Wide spread acceptance of balloon and other catheter techniques in dilating stenotic blood vessels, biliary tree and urinary tract led us to try these modalities for the treatment of ureteral strictures. So we tried percutaneous balloon dilatation in 5 failed retrograde ureteral dilatation cases. 4 tuberculous ureteritis and 1 postureterolithotomy state. We used the balloon catheter with techniques of percutaneous transluminal manipulation for dilatation of the ureteral stricture under fluoroscopic guidance. The results of dilatation were successful in 4 cases and failed in 1 tuberculous ureteral stricture. In successfu1 4 cases, there was no evidence of symptomatic and radiologic recurrence for 7 to 29 months of follow up period. The percutaneous balloon dilatation can be useful in case of alternative to surgery and failed retrograde balloon dilatation.

Keyword

Ureteral stricture; Percutaneous balloon dilatation

MeSH Terms

Biliary Tract
Blood Vessels
Catheters
Constriction, Pathologic*
Dilatation*
Follow-Up Studies
Recurrence
Ureter*
Urinary Tract