Mochizuki Taku, Kawahara Takashi, Iwamoto Genta, Kuroda Shinnosuke, Yao Masahiro, Uemura Hiroji
Departments of Urology and Renal Transplantation, Yokohama City University Medical Center, Yokohama, Japan.
Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Case Rep Oncol. 2018 Mar 15;11(1):159-163. doi: 10.1159/000487588. eCollection 2018 Jan-Apr.
Approximately 9.2% of patients who undergo radical cystectomy are reported to develop ureteral stricture as a result of both benign and malignant conditions. A metallic stent is a continuous, unfenestrated all-metal double-pigtail ureteric stent with no end or side holes. The patient was a 74-year-old man who underwent radial cystectomy with the creation of an ileal conduit due to advanced bladder cancer 7 years previously. Although he had no radiographic recurrence, he developed bilateral hydronephrosis. We herein report the first case of a patient with ureteral stricture after radial cystectomy with the creation of an ileal conduit who was successfully treated by the insertion of a metal stent by a combined antegrade and retrograde approach.
据报道，接受根治性膀胱切除术的患者中约9.2%会因良性和恶性疾病而发生输尿管狭窄。金属支架是一种连续的、无孔的全金属双猪尾输尿管支架，没有端部或侧孔。该患者为一名74岁男性，7年前因晚期膀胱癌接受了根治性膀胱切除术并创建了回肠膀胱术。尽管他没有影像学复发，但出现了双侧肾积水。我们在此报告首例接受根治性膀胱切除术并创建回肠膀胱术后发生输尿管狭窄的患者，该患者通过顺行和逆行联合方法插入金属支架成功治愈。
