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Query: UMLS:C0403608 (ureter)
 9,655 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The ureter that is left in place after nephrectomy may occasionally give rise to symptoms that are often attributed to other causes. The disease may not be recognized until it is far advanced or is discovered during surgery for another illness. Fourteen diseased ureteral stumps that became symptomatic months to years after nephrectomy are described. Calculi were found in six ureters and neoplasms in five; ureteritis cystica developed in one, infection secondary to vesicoureteral reflux in one, and empyema proximal to an obstructed ectopic ureteral orifice in another. Although there are several methods of imaging the ureteral stump, the best method in the authors' view is retrograde ureterography through a 5-F ureteral catheter. The catheter is inserted during cystoscopy but the injection of contrast medium is done in a radiographic/fluoroscopic facility where carefully monitored fluoroscopic spot radiographs can be obtained.
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PMID:Radiologic evaluation of the ureteral stump. 708 72

A 64-year-old woman, who had undergone right nephrectomy because of right incomplete double pyeloureter and dysplastic kidney with a ureteral stone at the age of 25, presented with a chief complaint of repeated urinary tract infection associated with right lower abdominal pain. A diagnosis of empyema of the ureteral stump with multiple stones was made based on X-ray findings and cystoscopy. In December 1999, the right residual ureter and ureteral stones were removed. Histopathologically, non-specific inflammatory change and fibrosis of the wall were observed. The ureter including the stones should have been resected at the previous nephrectomy.
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PMID:[Empyema of the ureteral stump with multiple stones after nephrectomy]. 1199 12

A 55-year-old woman who had undergone left nephrectomy 7 years prior because of pyonephrosis, suffered from refractory cystitis and was diagnosed with empyema of the left ureteral stump associated with ectopic ureter. Although removal of the stump is a popular treatment for this disease, transurethral fulguration of the stump lumen was performed in the patient described here. The procedure was technically easy and safe, resulting in the disappearance of the dilated stump and cessation of recurring cystitis.
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PMID:Transurethral fulguration for empyema of ectopic ureteral stump. 1463 71

We present a rare case of empyema of the ureteral stump with a large calculus 20 years after nephrectomy for a nonfunctioning kidney secondary to chronic obstruction resulting from a small ureteral stone. The ureteral stump with stone was removed en bloc. We suggest that a ureter with stone should be excised at nephrectomy, especially in cases with a dilated ureter.
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PMID:Empyema of retained ureteral stump with gross stone 20 years after nephrectomy. 1919 2

A ureteral stump, which is the segment of the ureter left in place after nephrectomy, may occasionally give rise to a pathologic process called ureteral stump syndrome, which is clinically interpreted as febrile urinary tract infections, lower quadrant pain, and hematuria. Empyema of the ureteral stump, which belongs to this syndrome, is an uncommon disease entity presenting with a reported incidence of 0.8-1%. We present a case of empyema of the ureteral stump in a female patient 5 years postnephrectomy for a nonfunctioning kidney, and discuss the clinical presentation, radiologic diagnosis, and therapeutic options of this uncommon disease entity.
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PMID:Empyema of the ureteral stump. An unusual complication following nephrectomy. 2020 82

The study was aimed to improve the efficiency of surgical treatment of renal tuberculosis with total lesion of the ureter. The clinical course and the results of surgical treatment of 104 patients with extended or multiple ureteral strictures of specific (n=92) and non-specific (n=12) etiology. Thirty-five patients with nephrotuberculosis underwent percutaneous needle-guided nephrostomy (PNGNS), 79 underwent surgery with removal of organs: open nephrectomy with lumbar access (48), combined nephroureterectomy (31). According to the evaluation the glomerular filtration rate after PNGNS, value less than 10 ml/min led to performing nephrectomy, more than 10 ml/min - ureteroplasty. It was established that combined nephroureterectomy has significant advantages in the case of specific kidney disease, despite a long duration as compared with a nephrectomy. Removal of the kidney with ureter in patient with nephrotuberculosis is the prevention of persistent dysuria, empyema of ureter stump, its possible malignant transformation, and contributes to significant improvement of quality of life of the patient. Of the 35 patients after CHPNS, 25 underwent intestinoplasty of ureter: ileum was used in 23 patients, appendix- in 2 patients. It is shown that reconstructive surgery using small intestine allows to release 92% of patients from a lifetime external drainage of the kidney.
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PMID:[Surgical treatment of tuberculosis of the kidney with a total lesion of the ureter]. 2495 68

A 34-year-old male came to us with congenital spina bifida, vesicoureteral reflux and scoliosis. He had been on hemodialysis for chronic renal failure caused by reflux nephropathy since the age of 23 years. At the age of 24, he received bilateral nephrectomy and underwent living renal transplantation from his mother. Hemodialysis was started again at the age of 26, because the renal graft was not functioning. At the age of 34, the patient developed a fever that persisted for a few days. He received antibiotic medication from his physician, but since his condition did not improve he was refered to our hospital. A computed tomography scan examination revealed abscess formation in the left retroperitoneum. Magnetic resonance imaging findings also showed the abscess in the left retroperitoneum. The patient was diagnosed with empyema of the residual ureter and underwent a left ureterectomy procedure.
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PMID:[Empyema in Left Ureteral Stump Following Bilateral Nephrectomy and Living Renal Transplant-Case Report]. 3083 73