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Surgical treatment of the stricture of the lower third of ureter after radiation therapy of pelvic organs

https://doi.org/10.17650/1726-9776-2016-12-3-68-73

Abstract

Postradiation obstructive changes of distal parts of the ureter most commonly occur after radiation therapy for cervical cancer, endometrial cancer, bladder cancer. Pathogenesis of postradiation lesions of the ureteral wall are explained by destructive effects of radiation on the basal membranes of the capillary cell, causing an occlusion, thrombosis, and neovascularization, which in turn leads to proliferation of fibroblasts and stromal fibrosis. Possible complications include hematuria, urinary tract infections, vesicoureteral reflux, stent migration, stent encrustation. By the way, presence of the stent is often associated with pain and discomfort in patients. Aim of this work is to improve the results of treatment of strictures of the lower ureter following radiotherapy, by evaluating effectiveness of extravesical uretherocystoanastomosis and Boari procedure. 

About the Authors

N. V. Polyakov
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


N. G. Keshishev
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


A. A. Kachmazov
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


M. V. Grigorieva
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


Sh. Sh. Gurbanov
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


G. A. Kovchenko
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


S. A. Serebryannyi
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


B. Ya. Alekseev
Research Institute of Urology and Interventional Radiology named after O.N. Lopatkin – branch of the Federal State Budgetary Institution of the National Medical Research Center of Radiology, Russian Ministry of Health
Russian Federation
51 3rd Parkovaya St., Moscow, 105425


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Review

For citations:


Polyakov N.V., Keshishev N.G., Kachmazov A.A., Grigorieva M.V., Gurbanov Sh.Sh., Kovchenko G.A., Serebryannyi S.A., Alekseev B.Ya. Surgical treatment of the stricture of the lower third of ureter after radiation therapy of pelvic organs. Cancer Urology. 2016;12(3):68-73. https://doi.org/10.17650/1726-9776-2016-12-3-68-73

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ISSN 1726-9776 (Print)
ISSN 1996-1812 (Online)
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