Wanner K, Marx F J
Urologe A. 1981 Sep;20(5):265-8.
Closure of the ureter with a mixture of butyl-2-cyano-acrylate and lipiodol was performed for the palliative management of urinary incontinence in 4 patients (unilaterally in 3, bilaterally in 1), after urinary diversion had been provided by operative or percutaneous nephrostomy (inoperable vesico-(recto-)vaginal fistulas [2 patients] due to irradiated cervical carcinomas, contracted bladder due to irradiation [1 patient] and irradiated locally advanced prostatic carcinoma [1 patient]). In the first two patients the ureters were occluded by transurethral access using ureteral catheters followed in one case by dislocation of embolic material in the renal pelvis (without sequelae). The transrenal access for ureteral closure was employed in the two other patients using adjuvant balloon catheter occlusion. With this technique no complications were encountered. All patients were discharged free of complaints and completely dry. To achieve this result two patients had required a second ureteral embolisation.
对4例尿失禁患者（3例单侧，1例双侧）采用丁基-2-氰基丙烯酸酯与碘油的混合物进行输尿管封闭术，以缓解尿失禁症状。这些患者均已通过手术或经皮肾造瘘进行了尿流改道（2例因宫颈癌放疗导致无法手术的膀胱（直肠）阴道瘘，1例因放疗导致膀胱挛缩，1例为局部晚期前列腺癌放疗患者）。在前两名患者中，通过输尿管导管经尿道途径封闭输尿管，其中1例随后出现栓塞材料在肾盂内移位（无后遗症）。另外两名患者采用经肾途径封闭输尿管，并辅助使用球囊导管闭塞。采用该技术未出现并发症。所有患者均无不适症状出院，且完全无尿失禁症状。为达到这一效果，两名患者需要进行第二次输尿管栓塞术。
