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Endourological treatment of nonmalignant upper urinary tract complications after urinary diversion.

机译:导尿后非恶性上尿路并发症的内科治疗。

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Endourological modalities are considered the first line of treatment for benign ureterointestinal anastomotic strictures except in long strictures, completely obliterated lumen, prior radiation, and poor renal function. Endoureterotomy provided better success than balloon dilatation. In poor-operative risk patients, metal or double-J stents are viable options. Endourological treatments of upper tract stones after diversion are indicated for stones not suitable for shock wave lithotripsy (SWL) or to salvage SWL failure. Percutaneous nephrolithotomy was preferred for large or complex renal stones, whereas ureteroscopy was used for smaller stones. The evaluation of stone-free status and regular follow-up are mandatory because of the high recurrence rate.
机译:除了长狭窄,完全闭塞的管腔,先前的放疗和不良的肾功能外,泌尿外科方式被认为是良性输尿管-肠吻合狭窄的第一线治疗方法。子宫内膜切开术比球囊扩张术取得了更好的成功。对于手术风险较低的患者,金属或双J支架是可行的选择。对于不适合冲击波碎石术(SWL)或挽救SWL衰竭的结石,需改道后进行上路结石的内科治疗。对于较大或复杂的肾结石,首选经皮肾镜取石术,而对较小的结石则应使用输尿管镜检查。由于复发率高,必须进行无结石状态评估和定期随访。

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