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Asian Journal of Urology, 2018, 5(2): 94-100    doi: 10.1016/j.ajur.2017.09.002
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Prevention strategies for ureteral stricture following ureteroscopic lithotripsy
Dong Hao,Peng Yonghan,Li Ling,Gao Xiaofeng()
Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China
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Abstract: 

Ureteral stricture formation after ureteroscopic lithotripsy is a late complication that can lead to hydronephrosis and a subsequent risk of renal deterioration. The specific incidence is unknown, and the mechanism of stricture formation has not been completely explained. In this review, we summarize the current evidence regarding the incidence of this condition and discuss its pathogenesis. We then list preventive strategies to reduce the morbidity of ureteral strictures.
Key words:  Ureteroscopy    Ureteral stricture    Lithotripsy    Complications
收稿日期:  2017-01-13      修回日期:  2017-03-14      接受日期:  2017-06-19      出版日期:  2018-04-10      发布日期:  2018-06-09      整期出版日期:  2018-04-10
引用本文:    
. [J]. Asian Journal of Urology, 2018, 5(2): 94-100.
Dong Hao,Peng Yonghan,Li Ling,Gao Xiaofeng. Prevention strategies for ureteral stricture following ureteroscopic lithotripsy. Asian Journal of Urology, 2018, 5(2): 94-100.
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http://www.ajurology.com/CN/10.1016/j.ajur.2017.09.002  或          http://www.ajurology.com/CN/Y2018/V5/I2/94
  
Study No. of patients Age (year) Stone size (mm)b Stone location Impacted rate (%) Type of ureteroscopy Type of lithotripsy Ureters cope size (Fr) No. of stricture Mean follow-up (month) Incidence (%)
Proximal Middle Distal
Roberts et al., 1998 [8]a 21 41.6 10.3 3 8 10 100 R LL 7-10 5 7.0 23.81
Weizer et al., 2002 [9] 241 47.2 3-35 56 111 74 - R/F LL - 3 5.4 1.24
Brito et al., 2006 [10]a 42 23-72 5-20 9 12 21 100 R PL 8.5 6 6.0 14.29
El-Abd et al., 2014 [5] 1950 - - 789 - 1161 - R/F LL/PL 7.4-8.5 12 7.6 0.6
Adiyat et al., 2009 [11] 214 48.3 10.85 114 42 58 5.14 R/F LL 6-7.5 3 14.5 1.40
Binbay et al., 2011 [12]a 80 39.9 - 12 21 47 100 R LL/PL 8.5 1 15 1.25
de la Rosette et al., 2014 [3] 10 511 48.7 - 3101 2390 5020 27.2 R/F LL/PL/
UL/EL		 - 36 - 0.30
Li et al., 2015 [13] 982 41.9 5-15 - 387 595 - R LL/PL 7.5 29 12 2.95
Fam et al., 2015 [14] 64 - - 21 15 28 100 R LL 6.5 5 7.0 7.81
Combined 14?105 - - 4105 2986 7014 - - - - 100 9.3 0.71
Table 1  Strictures after ureteroscopic treatment of ureter stones.
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