RESULTS AFTER SURGICAL TREATMENT OF URETERAL STRICTURES AT THE DEPARTMENT OF UROLOGY, THAI NGUYEN NATRIONAL HOSPITAL
Main Article Content
Abstract
Objectives: The study to evaluate the initial results after 1 month in patients undergoing surgery to treat ureteral stenosis at the Department of Urology, Thai Nguyen National Hospital. Material and Methods: A descriptived study method, longitudal follow-up without control, and a combination of prospective and retrospective, data was collected 99 cases of surgical treatment of ureteral stenosis from June 2021 to June 2022, the main outcomes included the ability to improve clinical symptoms as well as on imaging and record the rate of complications - complications after surgery. Results: The research results show that the male/female ratio was 1.2/1, common clinical features were low back pain (78.8%), renal colic were 10.1%, and one-sided enlarged kidney signs was 2.0% patients. Preoperatively 96 patients (77%) had ipsilateral hydronephrosis grade I was 70,7%, grade II was 21,2%, and grade III was 5,1%. Abdomen and pelvis multislice computed tomography (MSCT) was show that 43.6% of the major obstruction sites were in the upper third of the ureter. The longest time for open surgery (153 minutes), followed by Hip-Back endoscopy (111 minutes), and the shortest retrograde endoscopic surgery (83.23 minutes). There were no intraoperative complications in the early postoperative period and after. The degree of fluid retention on ultrasound at re-examination has changed compared to before surgery. The average length of hospitalization operating surgery was 11,60±5,55 days and endoscopic surgery was 8,84±4,44 days. Results after 1 month: 97% was good; 3,0% was normal. Conclusions: Laparoscopic surgery in the treatment of ureteral stenosis has a high success rate and most patients have no complications after treatment.
Article Details
Keywords
ureteral stenosis, ureteral endoscopic surgery, ureteral stricture treatment surgery, endoscopic ureteral stricture surgery, treatment for ureteral stenosis.
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