Laparoscopic Management of Ureteral Strictures

Abstract

Iatrogenic injuries, both endoscopic and external, are currently the most common cause for ureteral strictures. Endoscopic treatment is the appropriate initial management option for short-segment strictures causing partial ureteral obstruction. Reconstructive procedures are reserved for strictures that are longer, obliterative, or that have failed endoscopic treatment. The reconstructive treatment options range from primary ureteroureterotomy, uretero-neocystostomy, psoas-hitch, Boari flap, and ileal ureter interposition, depending on the length and location of strictures. In select patients, these surgical techniques can be been performed laparoscopically with success.