Open surgical management of ureteric strictures: A retrospective study

TL;DR

This study examines the long-term success of open surgery for treating long ureteric strictures using various techniques.

Contribution

The paper presents the largest reported study on open ureteric reconstruction using multiple techniques.

Findings

The mean stricture length was 4.5 cm, with the longest being 10.4 cm.

The success rate of the surgery was 96.7% with a 3.2% recurrence rate after 13 months.

Abstract

Ureteral strictures may arise from long standing nephro/urolithiasis, radiation, use of lasers for treatment of stones, trauma,
ischemia, and iatrogenic injury. Therefore, it is of interest to assess the long-term results of ureteral reconstruction using different
techniques. Hence, all benign ureteral strictures that more than 2 cm at the level of the pelvi-ureteric junction, upper or mid-ureter,
or loss of long length of ureter not suitable for Boar's flap or ureteric reconstruction at a tertiary hospital were included in this
study. The mean length of the stricture was 4.5 cms with longest stricture length of 10.4 cms. The success rate of the ureteric
reconstruction surgery in our study was 96.7% with recurrence in 3.2% cases after 13 months. Thus, the largest study on open ureteric
reconstruction using variety of techniques is reported.