Dilation of lower ureteral strictures with Van Andel catheters

R. B. Alexander, N. Thompson, Barbara A Pockaj, R. Chang, J. W. Segura

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We present a simple method to dilate ureteral strictures, which was performed in 7 patients with metastatic cancer (1 breast, 1 lymphoma, 2 ovarian and 3 colorectal tumors) who presented with newly discovered obstruction in the distal ureter. The obstruction was due to tumor in the pelvis in 5 patients and to pelvic radiotherapy in 2. A 0.035-inch guide wire was passed beyond the stricture cystoscopically. In each case a double pigtail stent could not be passed beyond the stricture over the guide wire. The strictures were then dilated with progressively larger Van Andel catheters passed over the guide wire through the cystoscope. Following dilation a 7.5F to 8.5F soft double pigtail catheter was easily advanced. All patients had good drainage on followup radiographic studies. The method is presented as an alternative to balloon dilation of lower ureteral strictures when the goal is placement of an adequate diameter indwelling ureteral stent.

Original languageEnglish (US)
Pages (from-to)68-69
Number of pages2
JournalJournal of Urology
Volume152
Issue number1
StatePublished - 1994
Externally publishedYes

Fingerprint

Dilatation
Pathologic Constriction
Catheters
Stents
Cystoscopes
Ureter
Pelvis
Drainage
Colorectal Neoplasms
Lymphoma
Radiotherapy
Breast Neoplasms
Neoplasms

Keywords

  • balloon dilatation
  • catheterization
  • dilatation
  • ureter
  • ureteral obstruction

ASJC Scopus subject areas

  • Urology

Cite this

Alexander, R. B., Thompson, N., Pockaj, B. A., Chang, R., & Segura, J. W. (1994). Dilation of lower ureteral strictures with Van Andel catheters. Journal of Urology, 152(1), 68-69.

Dilation of lower ureteral strictures with Van Andel catheters. / Alexander, R. B.; Thompson, N.; Pockaj, Barbara A; Chang, R.; Segura, J. W.

In: Journal of Urology, Vol. 152, No. 1, 1994, p. 68-69.

Research output: Contribution to journalArticle

Alexander, RB, Thompson, N, Pockaj, BA, Chang, R & Segura, JW 1994, 'Dilation of lower ureteral strictures with Van Andel catheters', Journal of Urology, vol. 152, no. 1, pp. 68-69.
Alexander RB, Thompson N, Pockaj BA, Chang R, Segura JW. Dilation of lower ureteral strictures with Van Andel catheters. Journal of Urology. 1994;152(1):68-69.
Alexander, R. B. ; Thompson, N. ; Pockaj, Barbara A ; Chang, R. ; Segura, J. W. / Dilation of lower ureteral strictures with Van Andel catheters. In: Journal of Urology. 1994 ; Vol. 152, No. 1. pp. 68-69.
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