Mian Abrar, Redger Kirk, Flynn Brian
Medical Student at Midwestern University, 555 31st St, Downers Grove, IL 60515, USA.
Urologist at University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Urol Case Rep. 2021 Aug 21;39:101816. doi: 10.1016/j.eucr.2021.101816. eCollection 2021 Nov.
To manage bilateral complete distal ureteral transections (CDUT) via stent placement achieved through a combination of antegrade and retrograde approaches. An antegrade wire was advanced through the nephrostomy tube. Flexible ureteroscopy was utilized via retrograde approach to identify the guidewire in the pelvis. The guidewire was grasped and withdrawn out the urethra, and bilateral stents were placed over guidewire. Patient continues to remain asymptomatic one year later, with symmetrical renal function and no evidence of obstruction. We demonstrate that a CDUT can be successfully realigned with a combined endourological approach, thereby avoiding open/laparoscopic ureteral repair.
通过顺行和逆行相结合的方法放置支架来处理双侧完全性输尿管远端横断伤（CDUT）。一根顺行导丝经肾造瘘管推进。通过逆行途径利用软性输尿管镜在盆腔内识别导丝。抓住导丝并从尿道抽出，然后在导丝上放置双侧支架。一年后患者仍无症状，肾功能对称且无梗阻迹象。我们证明，采用联合腔内泌尿外科手术方法可成功使CDUT重新对合，从而避免开放性/腹腔镜输尿管修复术。
