A New Self-expanding, Large-caliber Ureteral Stent Applied for Bilateral Long-segment Ureteral Strictures — A Case Report

Hsuan-Yun Hsu, Chih-Wei Tsao
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Abstract

Urologists are experiencing difficulties managing ureteral strictures (US). Several treatment options have been used to treat US. Here, we present two patients with US. The first case is a 49-year-old woman with a history of squamous cell carcinoma of the cervix, status postlaparoscopy-assisted vaginal hysterectomy and radical parametrectomy, and bilateral pelvic lymph node dissection with recurrence. She regularly underwent double-J catheterization for bilateral US. The second case is a 66-year-old woman with a history of serious papillary adenocarcinoma of the endometrium, poststaging laparotomy with extrafascial hysterectomy + bilateral salpingo-oophorectomy + bilateral pelvic, common iliac, and para-aortic lymph node dissection + omentectomy. She regularly underwent double-J catheterization because of bilateral US. Allium stents have been used to treat US. Hydronephrosis improved in both patients. Renal function improved in one patient. A new self-expanding, large-caliber ureteral stent is another treatment option for patients requiring internal ureteral drainage.
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应用新型自膨胀大口径输尿管支架治疗双侧长段输尿管狭窄--病例报告
泌尿科医生在处理输尿管狭窄(US)方面遇到了很多困难。治疗输尿管狭窄的方法有多种。在此,我们介绍两名输尿管狭窄患者。第一例患者是一名 49 岁的女性,曾患宫颈鳞状细胞癌、腹腔镜辅助阴道子宫切除术后状态、根治性宫旁切除术、双侧盆腔淋巴结清扫术后复发。她定期接受双J导管双侧US检查。第二个病例是一名 66 岁女性,曾患严重的子宫内膜乳头状腺癌,分期后行筋膜外子宫切除术+双侧输卵管切除术+双侧盆腔、髂总及主动脉旁淋巴结清扫术+卵巢切除术。由于双侧 US,她定期接受双 J 导管检查。曾使用薤支架治疗 US。两名患者的肾积水情况均有所改善。一名患者的肾功能有所改善。对于需要输尿管内引流的患者来说,新型自膨胀大口径输尿管支架是另一种治疗选择。
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