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KMID : 0358319920330010130
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Korean Journal of Urology
1992 Volume.33 No. 1 p.130 ~ p.135
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Endoscopic Surgery for Management in Stricture of Ureteropelvic Junction, Ureter of Caliceal Neck
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Abstract
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Recently, the endopyelotomy has been used as a first choice of treatment in selected cases of ureteropelvic or ureteral strictures. 24 consecutive cases of endourolgic-tomy procedure including 12 cases of endopyelotomy, 8 cases of endoureterotomy
and 4
cases of endocalicotomy were performed from Nov. '89 to May '91. The causes of stricture were previous operation (7 cases), congenital (6 cases), tuberculosis (5 cases) and others. They were all followed more than 3 months. The overall success
rate
was
83.3%. The success means improvement of clinical symptoms and radiographic findings. The complications were upward migration of stent (1 cases), granuloma (1 case) and restricture(2 cases). Especially in 4 cases of caliceal stricture the success
rate
was 100% with no complication. Our experience indicates that endourologic-tomy procedure has relatively good success rate, low morbidity, low complication and a shorter recovery time. Especially endocalico tomy is one of the best method to treat
caliceal stricture.
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