Minimally invasive surgery for the treatment of ureteral stump syndrome

Husain Alenezi 1, Abdelmoniem E Eltiraifi 2, Mohammad Alomar 2

Affiliations

12 January 2015

-

doi: 10.4103/0974-7796.150491

Abstract

Objective: The aim was to highlight the advantages and the feasibility of treating ureteral stump syndrome (USS) by different minimally invasive procedures.

Materials and methods: Four patients with USS who were treated by different minimally invasive surgery approaches depending on their presentation and findings on radiologic investigations.

Results: Three patients had complete resolution of their symptoms, whereas the fourth patient had persistence of urinary tract infection.

Conclusion: Minimally invasive surgery is a valid treatment option for patients with USS with possible less morbidity than conventional open surgical excision.

Keywords: Endoscopy; laparoscopy; minimally invasive surgery; ureteral stump.

Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1 Voiding cystourethrogram showing refluxing retained right ureteral stump

Figure 1 Voiding cystourethrogram showing refluxing retained right ureteral stump

Figure 2 Axial computerized tomography scan revealed dilated long retained left ureteral stump

Figure 2 Axial computerized tomography scan revealed dilated long retained left ureteral stump

Figure 3 Lower level from the same axial computerized tomography scan showing two small stones in the distal part of the retained left ureteral stump

Figure 3 Lower level from the same axial computerized tomography scan showing two small stones in the distal part of the retained left ureteral stump

Figure 4 Voiding cystourethrogram showing persistent right ureterocele and reflux in the retained right ureteral stump

Figure 4 Voiding cystourethrogram showing persistent right ureterocele and reflux in the retained right ureteral stump

Similar articles

Laparoscopic extravesical detrusorraphy, a minimally invasive treatment option for vesicoureteral reflux: a single centre experience.

Javali T, Pathade A, Nagaraj HK.J Pediatr Urol. 2015 Apr;11(2):88.e1-6. doi: 10.1016/j.jpurol.2015.01.007. Epub 2015 Mar 5.PMID: 25797856

[A ureteral endoscopic approach--a minimally invasive method complementary to nephroureterectomy].

Geavlete P, Jora T.Chirurgia (Bucur). 1998 Mar-Apr;93(2):107-14.PMID: 9656599 Romanian.

The Impact of Minimally Invasive Surgery on Major Iatrogenic Ureteral Injury and Subsequent Ureteral Repair During Hysterectomy: A National Analysis of Risk Factors and Outcomes.

Packiam VT, Cohen AJ, Pariser JJ, Nottingham CU, Faris SF, Bales GT.Urology. 2016 Dec;98:183-188. doi: 10.1016/j.urology.2016.06.041. Epub 2016 Jul 5.PMID: 27392649

Comparison Between Minimally Invasive and Open Gastrectomy for Gastric Cancer in Europe: A Systematic Review and Meta-analysis.

Kostakis ID, Alexandrou A, Armeni E, Damaskos C, Kouraklis G, Diamantis T, Tsigris C.Scand J Surg. 2017 Mar;106(1):3-20. doi: 10.1177/1457496916630654. Epub 2016 Jun 23.PMID: 26929289 Review.

Minimally invasive surgery.

Fuchs KH.Endoscopy. 2002 Feb;34(2):154-9. doi: 10.1055/s-2002-19857.PMID: 11822011 Review.

Cited by

Recurrent Paravaginal Abscess: An Unusual Presentation of a Distal Ectopic Ureteral Remnant.

Lovell DY, Merriman AL, Benjamin KC, Taylor GB.CRSLS. 2022 Oct 19;9(3):e2022.00044. doi: 10.4293/CRSLS.2022.00044. eCollection 2022 Jul-Sep.PMID: 36817084 Free PMC article.

KMEL References

https://pubmed.ncbi.nlm.nih.gov/

References

  1.  
    1. Hyman A. Empyema of the ureteral stump following incomplete ureterectomy. Ann Surg. 1923;78:387–97. - PMC - PubMed
  2.  
    1. Androulakakis PA, Stephanidis A, Antoniou A, Christophoridis C. Outcome of the distal ureteric stump after (hemi) nephrectomy and subtotal ureterectomy for reflux or obstruction. BJU Int. 2001;88:586–9. - PubMed
  3.  
    1. Persad R, Kamineni S, Mouriquand PD. Recurrent symptoms of urinary tract infection in eight patients with refluxing ureteric stumps. Br J Urol. 1994;74:720–2. - PubMed
  4.  
    1. Hendren WH, Mitchell ME. Surgical correction of ureteroceles. J Urol. 1979;121:590–7. - PubMed
  5.  
    1. Krarup T, Wolf H. Refluxing ureteral stump. Scand J Urol Nephrol. 1978;12:181–3. - PubMed
  6.  
    1. De Caluwe D, Chertin B, Puri P. Fate of the retained ureteral stump after upper pole heminephrectomy in duplex kidneys. J Urol. 2002;168:679–80. - PubMed
  7.  
    1. Cain MP, Pope JC, Casale AJ, Adams MC, Keating MA, Rink RC. Natural history of refluxing distal ureteral stumps after nephrectomy and partial ureterectomy for vesicoureteral reflux. J Urol. 1998;160:1026–7. - PubMed
  8.  
    1. Ahmed S, Boucaut HA. Vesicoureteral reflux in complete ureteral duplication: Surgical options. J Urol. 1988;140:1092–4. - PubMed
  9.  
    1. Jelloul L, Valayer J. Ureteroureteral anastomosis in the treatment of reflux associated with ureteral duplication. J Urol. 1997;157:1863–5. - PubMed
  10.  
    1. Belman AB, Filmer RB, King LR. Surgical management of duplication of the collecting system. J Urol. 1974;112:316–21. - PubMed
  11.  
    1. Huisman TK, Kaplan GW, Brock WA, Packer MG. Ipsilateral ureteroureterostomy and pyeloureterostomy: A review of 15 years of experience with 25 patients. J Urol. 1987;138:1207–10. - PubMed
  12.  
    1. Amar AD. Ipsilateral ureteroureterostomy for single ureteral disease in patients with ureteral duplication: A review of 8 years of experience with 16 patients. J Urol. 1978;119:472–5. - PubMed
  13.  
    1. Bockrath JM, Maizels M, Firlit CF. The use of lower ipsilateral ureteroureterostomy to treat vesicoureteral reflux or obstruction in children with duplex ureters. J Urol. 1983;129:543–4. - PubMed
  14.  
    1. Labanaris AP, Zugor V, Smiszek R, Nützel R, Kühn R. Empyema of the ureteral stump. An unusual complication following nephrectomy. Scientific World Journal. 2010;10:380–3. - PMC - PubMed
  15.  
    1. Bullock KN, Deane AM, Ashken MH. Endoscopic Teflon injection for a refluxing ureteric stump after simple nephrectomy. Br Med J (Clin Res Ed) 1985;290:1109. - PMC - PubMed
  16.  
    1. De Caluwé D, Chertin B, Puri P. Long-term outcome of the retained ureteral stump after lower pole heminephrectomy in duplex kidneys. Eur Urol. 2002;42:63–6. - PubMed
  17.  
    1. Russinko PJ, Siddiq FM, Zabbo A. A retained ureteral stump with calculi. J Urol. 2003;169:268. - PubMed
  18.  
    1. Ehrlich RM, Koyle MA, Shanberg AM. A technique for ureteral stump ablation. J Urol. 1988;140:1240–1. - PubMed
  19.  
    1. Ikeda D, Matsutani R, Fukuda M, Fuse H, Hirano S. Transurethral fulguration for empyema of ectopic ureteral stump. Int J Urol. 2003;10:664–6. - PubMed
  20.  
    1. Perez-Brayfield M, Kirsch AJ, Hensle TW, Koyle MA, Furness P, Scherz HC. Endoscopic treatment with dextranomer/hyaluronic acid for complex cases of vesicoureteral reflux. J Urol. 2004;172:1614–6. - PubMed
  21.  
    1. Labairu-Huerta L, Burguete-Moriones A, Zabalza-Unzué J, Grasa-Lanau V. Ureteral stump empyema. A report of a case and review of the literature. Actas Urol Esp. 2010;34:909–11. - PubMed
  22.  
    1. Kim YJ, Jeon SH, Huh JS, Chang SG. Long-term follow-up of ureteral stump tumors after nephrectomy for benign renal disease. Eur Urol. 2004;46:748–52. - PubMed

Page Navigation