PMID: 11912389Mar 26, 2002Paper

Holmium: YAG laser endoureterotomy for ureterointestinal strictures

The Journal of Urology
James D WattersonJ D Denstedt

Abstract

The management of ureterointestinal stricture in patients who have undergone urinary diversion can be challenging. Endourological techniques have been increasingly used in recent years for ureteral stricture. While long-term results may not be as reliable or durable as those of traditional open reconstructive surgical techniques, associated morbidity is much less. The holmium (Ho):YAG laser, which has cutting and coagulating properties, has been demonstrated to have many applications in urology. We report our experience with and long-term results of Ho:YAG laser endoureterotomy for ureterointestinal strictures. We reviewed the charts and followup history of 23 patients in whom the Ho:YAG laser was used to treat ureterointestinal anastomotic stricture. Strictures were treated percutaneously via the antegrade approach with flexible endoscopes and the holmium laser. A reversed 12/6Fr endopyelotomy stent was left indwelling for 6 weeks postoperatively. Success was defined as symptomatic improvement and radiographic resolution of obstruction. Between 1993 and 2000, 23 patients with a mean age of 61 years underwent endo-ureterotomy using the Ho:YAG laser for 24 ureterointestinal stricture. An overall success rate of 71% (17 of 24 cas...Continue Reading

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Citations

Mar 30, 2007·World Journal of Urology·Andrew J Marks, Joel M H Teichman
Jun 15, 2007·World Journal of Urology·Courtney K Phillips, Jaime Landman
Jun 3, 2009·World Journal of Urology·Nadya M CinmanArthur D Smith
Mar 6, 2008·International Urology and Nephrology·Paris PappasConstantinos Constantinides
Oct 4, 2002·European Urology·Florian SesekeRolf-Hermann Ringert
Jan 27, 2005·Photomedicine and Laser Surgery
Sep 20, 2012·Actas urologicas españolas·T R W HerrmannUNKNOWN European Association of Urology
Jan 31, 2012·European Urology·Thomas R W HerrmannUNKNOWN EAU Guidelines Panel on Lasers, Technologies
Sep 24, 2014·World Journal of Urology·Esteban Emiliani, Alberto Breda
Oct 1, 2014·World Journal of Urology·B AlexanderM Grasso
Jun 29, 2016·Nature Reviews. Urology·Niyati LoboMuhammad Shamim Khan
Mar 26, 2004·The Urologic Clinics of North America·Rakesh C Patel, Robert C Newman
Jan 12, 2008·Journal of Endourology·Daniel J RicchiutiTimothy D Averch
Jul 2, 2010·Journal of Endourology·Ugur BoyluRaju Thomas
Dec 10, 2002·Journal of Clinical Laser Medicine & Surgery
Dec 20, 2005·Expert Review of Medical Devices·Nathaniel M Fried
Nov 1, 2018·World Journal of Urology·C Reus, M Brehmer

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