{"id":1569,"date":"2024-04-19T16:00:38","date_gmt":"2024-04-19T13:00:38","guid":{"rendered":"https:\/\/jemis.org\/?page_id=1569"},"modified":"2024-07-18T16:38:51","modified_gmt":"2024-07-18T13:38:51","slug":"efficacy-and-safety-of-laser-endoureterotomy-for-the-treatment-of-ureteral-strictures-with-length-%e2%89%a4-10-mm","status":"publish","type":"page","link":"https:\/\/jemis.org\/bg\/efficacy-and-safety-of-laser-endoureterotomy-for-the-treatment-of-ureteral-strictures-with-length-%e2%89%a4-10-mm\/","title":{"rendered":"\u0415\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0438 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u0442\u043d\u043e\u0441\u0442 \u043d\u0430 \u043b\u0430\u0437\u0435\u0440\u043d\u0430\u0442\u0430 \u0435\u043d\u0434\u043e\u0443\u0440\u0435\u0442\u0435\u0440\u043e\u0442\u043e\u043c\u0438\u044f \u043f\u0440\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u043d\u0430 \u0443\u0440\u0435\u0442\u0435\u0440\u0430\u043b\u043d\u0438 \u0441\u0442\u0440\u0438\u043a\u0442\u0443\u0440\u0438 \u0441 \u0434\u044a\u043b\u0436\u0438\u043d\u0430 \u2264 10 \u043c\u043c"},"content":{"rendered":"\n
\n
\n

Volume 12, Supplement <\/strong><\/em>1<\/p>\n\n\n\n

Original Article \/ Published: April 202<\/em>4<\/p>\n\n\n\n

DOI:https:\/\/www.doi.org\/10.57045\/jemis\/1210424.pp17-18<\/a><\/p>\n\n\n\n

K.Hristov, P. Petrov, O. Gatsev, V. Todorova, D. Petrova, K. Petkova, I. Saltirov<\/p>\n\n\n\n

Clinic of Urology, Clinic of Nephrology, Department of Urology and Nephrology, Military Medical Academy, Sofia, Bulgaria<\/p>\n\n\n\n

Abstract<\/strong><\/p>\n\n\n\n

Introduction: Ureteral strictures are severe and difficult to treat disorders and significantly affect the quality of life of patients. Endoscopic laser ureterotomy is a minimally invasive procedure that is increasingly used for the management of ureteral strictures.<\/p>\n\n\n\n

Objective:The objective of our study is to evaluate the efficacy and safety of Holmium laser endoureterotomy in the treatment of ureteral strictures with length \u2264 10 mm.<\/p>\n\n\n\n

Material and methods:A retrospectively collected database of 21 patients who unederwent laser endoureterotomy for uretereral strictures with length \u2264 10 mm between January 2018 and January 2021 in the Clinic of Endourology and SWL, Military Medical Academy, Sofia, Bulgaria was reviewed. The endoureterotomy was performed under direct vision using a semirigid or flexible ureteroscope. Confirmation of obstruction and the results of the intervention were obtained by combinations of retrograde ureteropyelography, ultrasonography and CT. Success was defined as symptomatic relief and the absence of obstruction from the radiographic studies.<\/p>\n\n\n\n

Results: Patients\u2019 mean age was 57.5\u00b112 years and male-to-female ratio \u2013 52.4%\/47.6%. Mean length of the ureteral stricture was 7.2\u00b12 mm. Eighteen of the patients (85.7%) were with secondary ureteral structures mainly with anamnesis for previous endoscopic surgery for impacted ureteral stones. There were no intraoperative complications. In 20 of the patients (95.2%) stent JJ 7 Fr was put postoperatively. The stent JJ was removed mean 84.2\u00b151.6 days after the procedure. The success rate after the endoureterotomy was 85,7% (18\/21), while 3 cases(14.3%) presented with a recurrent stricture. The mean follow-up period was 30.5\u00b114.9 months.<\/p>\n\n\n\n

Conclusions: Ureteroscopicholmium:YAG laser endoureterotomyfor the treatment of ureteral strictures is a minimally invasive, short-stay out-patient procedure associated with a good success rate and less morbidity.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n<\/div>\n\n\n\n

\n
\n
\"\"
Volume 11, Issue 1<\/figcaption><\/figure>\n<\/figure>\n\n\n\n
\n
Article [pdf]<\/a><\/div>\n<\/div>\n\n\n\n

Keywords<\/strong>: <\/p>\n\n\n\n

Endoureterotomy, ureteral stricture, efficacy, safety<\/p>\n\n\n\n

How to cite this article<\/strong>:<\/p>\n\n\n\n

K.Hristov, P. Petrov, O. Gatsev, V. Todorova, D. Petrova, K. Petkova, I. Saltirov. Efficacy and safety of laser endoureterotomy for the treatment of ureteral strictures with length \u2264 10 mm. Journal of Endourology and Minimally Invasive Surgery (Bulgaria), 2024; 12(1): 17-18<\/p>\n\n\n\n

Corresponding author<\/strong>:<\/p>\n\n\n\n

Dr. Konstantin Hristov<\/p>\n\n\n\n

Military Medical Academy of Sofia, Department of Urology and nephrology, Clinic of Urology, 3 \u201cGeorgi Sofiiski\u201d blvd., Sofia 1606<\/p>\n\n\n\n

Tel. +359 878 427 317
e-mail: konstantin.hristovv@gmail.com<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Volume 12, Supplement 1 Original Article \/ Published: April 2024Continue reading\u0415\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442 \u0438 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u0442\u043d\u043e\u0441\u0442 \u043d\u0430 \u043b\u0430\u0437\u0435\u0440\u043d\u0430\u0442\u0430 \u0435\u043d\u0434\u043e\u0443\u0440\u0435\u0442\u0435\u0440\u043e\u0442\u043e\u043c\u0438\u044f \u043f\u0440\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u043d\u0430 \u0443\u0440\u0435\u0442\u0435\u0440\u0430\u043b\u043d\u0438 \u0441\u0442\u0440\u0438\u043a\u0442\u0443\u0440\u0438 \u0441 \u0434\u044a\u043b\u0436\u0438\u043d\u0430 \u2264 10 \u043c\u043c<\/span><\/a><\/span><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/full-width-page.php","meta":{"footnotes":""},"class_list":["post-1569","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/pages\/1569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/comments?post=1569"}],"version-history":[{"count":4,"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/pages\/1569\/revisions"}],"predecessor-version":[{"id":1627,"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/pages\/1569\/revisions\/1627"}],"wp:attachment":[{"href":"https:\/\/jemis.org\/bg\/wp-json\/wp\/v2\/media?parent=1569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}