Operative Management of Strictures in the Distal Ureter

Abstract

The surgical treatment of stricture at the vesical end of the ureter is discussed. In the 20 cases reported, the strictures were the results of chronic inflammatory processes with cicatricial narrowing of the distal ureter. In 14 cases non-specific infections were found and in 6 cases the lesions were due to tuberculosis. The diseased segment of the ureter was resected and uretero-neo-cystostomy carried out in all cases. The two operative methods used alternatively are described. The late results were good in 18 patients. Operative technique and choice of method for reconstruction are discussed.