ISSN:
1432-1084
Keywords:
Ureteric structures
;
Radical hysterectomy
;
Interventional radiology
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Following radical hysterectomy in 42 patients with early invasive carcinoma of the cervix, ureteric strictures developed in 7 patients. They were long, smooth strictures situated in the distal ureter and thought to be of benign origin, related to devascularisation of the ureter. All but one were diagnosed within 8 weeks of surgery and all were treated by a percutaneous approach using a combination of dilating catheters and ureteric stenting: a balloon catheter was used in one patient. In 5 patients treatment was successful. In 1 patient there was an equivocal result as she developed tumour recurrence at 8 months, while in another the procedure failed, probably because the stricture was not detected for 12 months and she had also had radiotherapy. The follow-up period ranged from 6 to 26 months (mean l5 months). Although previous workers have indicated that ureleric strictures following radical hysterectomy would not be expected to respond to transluminal dilatation, in view of the devascularisation of the ureter our experience shows that the majority of these partially devascularised ureters are amenable to percutaneous techniques if detected within 2–3 months of surgery.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00714184
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