Laser endoureterotomy with cut-to-the-light technique for complete ureteral obstruction - A case report.

Abstract

Ureteral stricture and obstruction following ureteroscopy are often difficult to treat. We report successful laser endoureterotomy using the cut-to-the-light technique for complete obstruction. A 44-year-old man developed complete ureteral obstruction at the ureteropelvic junction following transurethral ureterolithotripsy. We performed laser endoureterotomy and recovered the remaining stone by an antegrade percutaneous approach, while a second surgeon illuminated the obstruction with a ureteroscope by a retrograde approach. The minimally invasive cut-to-the-light technique might be an effective alternative to conventional invasive treatments, such as pyeloplasty, ureteroureterostomy and bowel interposition, in patients with complete ureteral obstruction in whom a ureteral stent cannot be placed.

• Authors: Keito Shiozaki, Hirofumi Izaki, Kyotaro Fukuta, Tomoya Fukawa, Masayuki Takahashi, Hiroomi Kanayama
• Journal: Urology case reports (Urol Case Rep) Vol. 42 Pg. 102036 (May 2022) ISSN: 2214-4420 [Print] United States
• PMID: 35530562 (Publication Type: Case Reports)
• Copyright: © 2022 The Authors.