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KMID : 0358319950360010083
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Korean Journal of Urology
1995 Volume.36 No. 1 p.83 ~ p.90
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The Experience of the Percutaneous Balloon Dilatation in the Treatment of Ureteral Stricture
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Abstract
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Surgical treatment have been gold standard in most cases of ureteral stricture and it's effects were not satisfactory. Recently nonoperative dilatation offer attractive alternatives to surgery in the treatment of urodynamically significant
ureteral
strictures. Wide spread acceptance of balloon and other catheter techniques in dilating stenotic blood vessels, biliary tree and urinary tract led us to try these modalities for the treatment of ureteral strictures. So we tried percutaneous
blloon
dilatation in 5 failed retrograde ureteral dilatation cases, 4 tuberculous ureteritis and 1 postureterolithotomuy state. We used the ballooon catheter with techniques of percutaneous transluminal manipulation for dilatation of the ureteral
stricture
under fluoroscopic guidance. The results of dilatation were successful in 4 cases and failed in 1 tuberculous ureteral stricture. In successful 4 cases, there was no evidence of symptomatic and radiologic rteccurence for 7 to 29 months of follow
up
period. The percutaneous balloon dilatation can be useful in case of alternative to surgery and failed retrograde balloon dilatation.
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KEYWORD
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