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Ureteral Obstruction

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  • Ureteral Obstruction

     Pathophysiology

    Ureteral Obstruction is structural or functional hindrance of normal urine flow, sometimes leading to renal dysfunction (obstructive nephropathy). Ureteral obstruction can be classified as intraluminal or extraluminal. Intraluminal causes include kidney stones, blood clots and scarring; these conditions usually cause unilateral obstruction and Extraluminal causes include several conditions related to enlarged masses that place pressure on the ureter and create obstructions.

  • Ureteral Obstruction

     Disease statistics

    Thirteen of the 126 women were identified, the median age was 39.5 (30 - 63). The point of ureteric obstruction was noted to occur most commonly at a small segment of distal left ureter, where it is crossed by the uterineartery (54%). Seven of the 13 women (53.8%) were successfully managed with ureterolysis only. Three of the 13 women (21.3%) underwent ureterolysis and placement of a double J ureteric stent.

  • Ureteral Obstruction

     Disease treatment

    Stents or drains placed in the ureter or in a part of the kidney called the renal pelvis may provide short-term relief of symptoms. Long-term relief from obstructive uropathy requires surgery. A Foley catheter, placed through the urethra into the bladder, may also be helpful.

  • Ureteral Obstruction

     Major research

    Laparoscopy is widely accepted as the gold standard of surgical management of ureteric endometriosis due to the enhanced vision. High power density monopolar electrosurgical instruments, combined with excellent vision have meant that laparoscopic dissection around the ureter can occur with minimal complications.

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