Prevention strategies for ureteral stricture following ureteroscopic lithotripsy

Hao Dong, Yonghan Peng, Ling Li, Xiaofeng Gao, Hao Dong, Yonghan Peng, Ling Li, Xiaofeng Gao

Abstract

Ureteral stricture formation after ureteroscopic lithotripsy is a late complication that can lead to hydronephrosis and a subsequent risk of renal deterioration. The specific incidence is unknown, and the mechanism of stricture formation has not been completely explained. In this review, we summarize the current evidence regarding the incidence of this condition and discuss its pathogenesis. We then list preventive strategies to reduce the morbidity of ureteral strictures.

Keywords: Complications; Lithotripsy; Ureteral stricture; Ureteroscopy.

Figures

Figure 1
Figure 1
Flowchart for article selection of the review.

References

    1. Oberlin D.T., Flum A.S., Bachrach L., Matulewicz R.S., Flury S.C. Contemporary surgical trends in the management of upper tract calculi. J Urol. 2015;193:880–884.
    1. Tepeler A., Resorlu B., Sahin T., Sarikaya S., Bayindir M., Oguz U. Categorization of intraoperative ureteroscopy complications using modified Satava classification system. World J Urol. 2014;32:131–136.
    1. de la Rosette J., Denstedt J., Geavlete P., Keeley F., Matsuda T., Pearle M. The clinical research office of the endourological society ureteroscopy global study: indications, complications, and outcomes in 11,885 patients. J Endourol. 2014;28:131–139.
    1. Chen S., Zhou L., Wei T., Luo D., Jin T., Li H. Comparison of holmium: YAG laser and pneumatic lithotripsy in the treatment of ureteral stones: an update meta-analysis. Urol Int. 2017;98:125–133.
    1. El-Abd A.S., Suliman M.G., Abo Farha M.O., Ramadan A.R., El-Tatawy H.H., El-Gamal O.M. The development of ureteric strictures after ureteroscopic treatment for ureteric calculi: a long-term study at two academic centres. Arab J Urol. 2014;12:168–172.
    1. Elashry O.M., Elgamasy A.K., Sabaa M.A., Abo-Elenien M., Omar M.A., Eltatawy H.H. Ureteroscopic management of lower ureteric calculi: a 15-year single-centre experience. BJU Int. 2008;102:1010–1017.
    1. Kilinc M.F., Doluoglu O.G., Karakan T., Dalkilic A., Sonmez N.C., Yuceturk C.N. The effect of ureteroscope size in the treatment of ureteral stone: 15-year experience of an endoscopist. Turk J Urol. 2016;42:64–69.
    1. Roberts W.W., Cadeddu J.A., Micali S., Kavoussi L.R., Moore R.G. Ureteral stricture formation after removal of impacted calculi. J Urol. 1998;159:723–726.
    1. Weizer A.Z., Auge B.K., Silverstein A.D., Delvecchio F.C., Brizuela R.M., Dahm P. Routine postoperative imaging is important after ureteroscopic stone manipulation. J Urol. 2002;168:46–50.
    1. Brito A.H., Mitre A.I., Srougi M. Ureteroscopic pneumatic lithotripsy of impacted ureteral calculi. Int Braz J Urol. 2006;32:295–299.
    1. Adiyat K.T., Meuleners R., Monga M. Selective postoperative imaging after ureteroscopy. Urology. 2009;73:490–493. [discussion 493]
    1. Binbay M., Tepeler A., Singh A., Akman T., Tekinaslan E., Sarilar O. Evaluation of pneumatic versus holmium:YAG laser lithotripsy for impacted ureteral stones. Int Urol Nephrol. 2011;43:989–995.
    1. Li L., Pan Y., Weng Z., Bao W., Yu Z., Wang F. A prospective randomized trial comparing pneumatic lithotripsy and holmium laser for management of middle and distal ureteral calculi. J Endourol. 2015;29:883–887.
    1. Fam X.I., Singam P., Ho C.C., Sridharan R., Hod R., Bahadzor B. Ureteral stricture formation after ureteroscope treatment of impacted calculi: a prospective study. Korean J Urol. 2015;56:63–67.
    1. Xi Q., Wang S., Ye Z., Liu J. Combined removal of stones with resection of concurrent pathologic ureter may be a preferred treatment for impacted ureteral stones with stricture lesions. J Endourol. 2009;23:243–247.
    1. Perez Castro E., Osther P.J., Jinga V., Razvi H., Stravodimos K.G., Parikh K. Differences in ureteroscopic stone treatment and outcomes for distal, mid-, proximal, or multiple ureteral locations: the Clinical Research Office of the Endourological Society ureteroscopy global study. Eur Urol. 2014;66:102–109.
    1. Schuster T.G., Hollenbeck B.K., Faerber G.J., Wolf J.S., Jr. Complications of ureteroscopy: analysis of predictive factors. J Urol. 2001;166:538–540.
    1. El-Nahas A.R., El-Tabey N.A., Eraky I., Shoma A.M., El-Hefnawy A.S., El-Assmy A.M. Semirigid ureteroscopy for ureteral stones: a multivariate analysis of unfavorable results. J Urol. 2009;181:1158–1162.
    1. Breda A., Territo A., Lopez-Martinez J.M. Benefits and risks of ureteral access sheaths for retrograde renal access. Curr Opin Urol. 2016;26:70–75.
    1. De S., Sarkissian C., Torricelli F.C., Brown R., Monga M. New ureteral access sheaths: a double standard. Urology. 2015;85:757–763.
    1. Torricelli F.C., De S., Hinck B., Noble M., Monga M. Flexible ureteroscopy with a ureteral access sheath: when to stent? Urology. 2014;83:278–281.
    1. Kaplan A.G., Lipkin M.E., Scales C.D., Jr., Preminger G.M. Use of ureteral access sheaths in ureteroscopy. Nat Rev Urol. 2016;13:135–140.
    1. Lallas C.D., Auge B.K., Raj G.V., Santa-Cruz R., Madden J.F., Preminger G.M. Laser Doppler flowmetric determination of ureteral blood flow after ureteral access sheath placement. J Endourol. 2002;16:583–590.
    1. Delvecchio F.C., Auge B.K., Brizuela R.M., Weizer A.Z., Silverstein A.D., Lallas C.D. Assessment of stricture formation with the ureteral access sheath. Urology. 2003;61:518–522.
    1. Abdel-Razzak O.M., Bagley D.H. Clinical experience with flexible ureteropyeloscopy. J Urol. 1992;148:1788–1792.
    1. Wang H.H., Huang L., Routh J.C., Kokorowski P., Cilento B.G., Jr., Nelson C.P. Use of the ureteral access sheath during ureteroscopy in children. J Urol. 2011;186(4 Suppl.):1728–1733.
    1. Traxer O., Thomas A. Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol. 2013;189:580–584.
    1. Kawahara T., Ito H., Terao H., Kakizoe M., Kato Y., Uemura H. Early ureteral catheter removal after ureteroscopic lithotripsy using ureteral access sheath. Urolithiasis. 2013;41:31–35.
    1. Francesca F., Scattoni V., Nava L., Pompa P., Grasso M., Rigatti P. Failures and complications of transurethral ureteroscopy in 297 cases: conventional rigid instruments vs. small caliber semirigid ureteroscopes. Eur Urol. 1995;28:112–115.
    1. Yaycioglu O., Guvel S., Kilinc F., Egilmez T., Ozkardes H. Results with 7.5F versus 10F rigid ureteroscopes in treatment of ureteral calculi. Urology. 2004;64:643–646. [discussion 646–647]
    1. Sugihara T., Yasunaga H., Horiguchi H., Nishimatsu H., Kume H., Ohe K. A nomogram predicting severe adverse events after ureteroscopic lithotripsy: 12 372 patients in a Japanese national series. BJU Int. 2013;111:459–466.
    1. Yamaguchi K., Minei S., Yamazaki T., Kaya H., Okada K. Characterization of ureteral lesions associated with impacted stones. Int J Urol. 1999;6:281–285.
    1. Mugiya S., Ito T., Maruyama S., Hadano S., Nagae H. Endoscopic features of impacted ureteral stones. J Urol. 2004;171:89–91.
    1. Mitchinson M.J., Bird D.R. Urinary leakage and retroperitoneal fibrosis. J Urol. 1971;105:56–58.
    1. Dretler S.P., Young R.H. Stone granuloma: a cause of ureteral stricture. J Urol. 1993;150:1800–1802.
    1. Suh R.S., Faerber G.J., Wolf J.S., Jr. Predictive factors for applicability and success with endoscopic treatment of upper tract urothelial carcinoma. J Urol. 2003;170:2209–2216.
    1. Chen G.L., Bagley D.H. Ureteroscopic surgery for upper tract transitional-cell carcinoma: complications and management. J Endourol. 2001;15:399–404. [discussion 409]
    1. Johnson G.B., Fraiman M., Grasso M. Broadening experience with the retrograde endoscopic management of upper urinary tract urothelial malignancies. BJU Int. 2005;95(Suppl. 2):110–113.
    1. Beiko D.T., Beasley K.A., Koka P.K., Watterson J.D., Nott L., Denstedt J.D. Upper tract imaging after ureteroscopic holmium:YAG laser lithotripsy: when is it necessary? Can J Urol. 2003;10:2062–2067.
    1. Karod J.W., Danella J., Mowad J.J. Routine radiologic surveillance for obstruction is not required in asymptomatic patients after ureteroscopy. J Endourol. 1999;13:433–436.
    1. Bugg C.E., Jr., El-Galley R., Kenney P.J., Burns J.R. Follow-up functional radiographic studies are not mandatory for all patients after ureteroscopy. Urology. 2002;59:662–667.
    1. Grasso M., Liu J.B., Goldberg B., Bagley D.H. Submucosal calculi: endoscopic and intraluminal sonographic diagnosis and treatment options. J Urol. 1995;153:1384–1389.
    1. Atis G., Arikan O., Gurbuz C., Yildirim A., Erol B., Pelit S. Comparison of different ureteroscope sizes in treating ureteral calculi in adult patients. Urology. 2013;82:1231–1235.
    1. Soylemez H., Yildirim K., Utangac M.M., Aydogan T.B., Ezer M., Atar M. A new alternative for difficult ureter in adult patients: No need to dilate ureter via a balloon or a stent with the aid of 4.5F semirigid ureteroscope. J Endourol. 2016;30:650–654.
    1. Tepeler A., Armagan A., Akman T., Silay M.S., Akcay M., Basibuyuk I. Is fluoroscopic imaging mandatory for endoscopic treatment of ureteral stones? Urology. 2012;80:1002–1006.
    1. Mandhani A., Chaudhury H., Gupta N., Singh H.K., Kapoor R., Kumar A. Is fluoroscopy essential for retrieval of lower ureteric stones? Urol Int. 2007;78:70–72.
    1. Peng Y., Xu B., Zhang W., Li L., Liu M., Gao X. Retrograde intrarenal surgery for the treatment of renal stones: is fluoroscopy-free technique achievable? Urolithiasis. 2015;43:265–270.
    1. Giusti G., Proietti S., Villa L., Cloutier J., Rosso M., Gadda G.M. Current standard technique for modern flexible ureteroscopy: tips and tricks. Eur Urol. 2016;70:188–194.

Source: PubMed

3
Suscribir