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Organo Oficial de la Sociedad Mexicana de Urología

2018, Number 4

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Rev Mex Urol 2018; 78 (4)

Experience in the treatment of ureterovesical junction stricture in patients with kidney transplant

Rivera-Astorga H, Medrano-Urtecho HM, García-Covarrubias L, Hinojosa-Heredia H, Gurrola-Ortega Á, Sarabia-Estrada RC, Garduño-Arteaga LM, Sánchez-Núñez JE, Cancino-Cubias C

Language: Spanish
References: 21
Page: 290-297
PDF size: 377.20 Kb.


ABSTRACT

Objective: To report our experience in the management of ureterovesical stricture in transplanted patients.
Materials and Methods: An ambispective and descriptive study was conducted on patients with ureterovesical junction stricture that were kidney transplantation recipients, seen at the Urology and Transplantation Services of the Hospital General de México Dr. Eduardo Liceaga within the time frame of 2013 to 2018. The variables analyzed were: age, time since transplantation, time with nephrostomy, time from stricture to correction, preoperative and postoperative creatinine levels, length of time with double- J catheter, follow-up, and type of treatment established. Descriptive statistics (mean, median, standard deviation, and range) were used for the data analysis, employing the SPSS 17 program.
Results: Four cases of ureterovesical junction stricture were registered: 2 were treated with endoscopic balloon dilation and 2 through cold knife and laser ureterotomy. At present, after 36 months of follow-up, none of the patients have presented with signs of re-stricture.
Conclusions: The different endoscopic treatment modalities are safe and effective in patients with stricture of the ureterovesical anastomosis in the short term and the medium term. However, each case must be individualized, given that at present there is no consensus on the best technique for that type of complication.


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