[Ureteral stricture as a late complication of radiotherapy : Possible treatment options]

Urologe A. 2017 Mar;56(3):322-328. doi: 10.1007/s00120-016-0294-z.
[Article in German]

Abstract

Ureteral strictures are uncommon complications of radiotherapy which are often recognized late. Their consequences range from harmless dilatation of the ureter to loss of renal function and potential life-threatening urosepsis.Therapy of radiogenic ureteral stricture is a challenging task for every urologist. Several surgical strategies including minimally invasive procedures, reconstruction and partial or complete replacement of the ureter are available.This article provides an overview of the various options in the treatment of radiogenic stricture of the ureter, focusing on the use of ileum and colon segments for ureteral substitution.

Keywords: Colon conduit; Ileal conduit; Radiotherapy; Ureter; Ureteral replacement.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical / methods
  • Combined Modality Therapy / methods
  • Dose-Response Relationship, Radiation
  • Endoscopy / methods
  • Evidence-Based Medicine
  • Female
  • Humans
  • Male
  • Organ Sparing Treatments / methods
  • Radiation Injuries / diagnosis*
  • Radiation Injuries / etiology
  • Radiation Injuries / therapy*
  • Radiotherapy Dosage
  • Radiotherapy, Conformal / adverse effects*
  • Risk Factors
  • Treatment Outcome
  • Urethral Stricture / diagnosis*
  • Urethral Stricture / etiology
  • Urethral Stricture / therapy*
  • Urologic Surgical Procedures / methods*