Abstract
Ureteral strictures could be caused by many etiologies. Conservative option for management of strictures can be placement of double J ureteral stent, either plastic or metallic. The reconstructive surgical management of renal pelvis and ureteral strictures depends on the location and length of the defect as well as the quality of adjacent tissues. In summary, for short, uncomplicated ureteropelvic junction (UPJ) obstruction and proximal ureteral strictures, pyeloplasty and ureteroureterostomy (UU) are gold standards. For short defects involving the upper or mid-ureter, a ureteroureterostomy or transureterureterostomy (TUU) is appropriate. A short defect involving the lower ureter is usually managed by ureteroneocystotomy (UNC) with or without a psoas hitch and/or Boari flap. For long ureteral defects, reconstructive options include renal auto transplantation, TUU, or ureteral reconstruction using bowel segments such as an ileal ureter.
Published Version
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