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

In advanced stages, the three most common inflammatory bowel diseases - colonic diverticulitis, Crohn's disease and ulcerative colitis - cause, in some 10% of cases, secondary urological pathology involving either bladder or ureter. Colovesical fistula is found more frequently in diverticulitis and less often in Crohn's disease, which penetrates predominantly from the ileum into the bladder. On the other hand, if uretic stenosis develops it will be caused on the right side by Crohn's disease and on the left by ulcerative colitis. Vesico-intestinal fistulae will close without sequelae after resection of the diseased bowel segment. On the other hand, retroperitoneal ureteric stenosis - despite bowel resection and ureterolysis - will often require nephrectomy if operation is not carried out early enough. Frequent re-checks with infusion excretory urography will help to prevent this. Nephrolithiasis, amyloidosis and contracted bladder are other, though less common, complications of chronic inflammatory diseases of the bowel.
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PMID:Urological complications in chronic inflammatory diseases of the bowel. 83 55

The three most common inflammatory diseases of the bowel, colonic diverticulitis, regional enteritis and ulcerative colitis, involve the bladder or ureter in the advanced stage in about 10%. The colovesical fistula is found more frequently with diverticulitis and less often with regional enteritis, which penetrates predominantly from the ileum into the bladder. On the other hand, if an ureteric stenosis develops, it will be caused on the right side mainly by regional enteritis and on the other side by ulcerative colitis. The vesicointestinal fistulae will close without sequelae after resection of the involved bowel segment. However, the ureteric stenosis will often be followed by nephrectomy despite bowel resection and ureterolysis, if the operation is not undertaken early enough. Frequent rechecks with infusion urography should help to prevent this. Nephrolithiasis, amyloidosis, and a contracted bladder are futher, yet less common complications of chronic inflammatory disease of the bowel.
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PMID:[Urologic complications od chronic inflammatory intestinal diseases]. 86 76

The patient was a 49-year-old male. He had a history of asymptomatic hematuria that had occurred 3 years previously. The hematuria and pollakisuria developed again from about March, 1989, and he was hospitalized for bladder tamponade in April. Bilateral percutaneous nephrostomies were performed because a contracted bladder and bilateral hydronephrosis were detected. He was then admitted to our hospital on June 21. The cause of the contracted bladder was not evident, despite extensive examination. A replacement ileocystoplasty constructed by Shishido's method was used to replace the contracted bladder. A U-shape pouch was prepared by detubularization of 25 cm of the ileum and this pouch was anastomosed to the incised end of the bladder neck after subtotal cystectomy. The ureter and ileum were then anastomosed using Coffey's method. The bladder capacity and the maximum urinary flow rate after 1 year were 350 ml and 13 ml/sec, respectively, and residual urine was not noted after urination even following abdominal pressure. Urinary incontinence was not noted either.
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PMID:[A case of replacement ileocystoplasty for contracted bladder]. 178 13

We report a case of primary genitourinary tuberculosis associated with severe progressive scarring, and obstruction of the left collecting system and proximal ureter, a contracted bladder with persistent vesicoureteral reflux and a bulbar urethral stricture. Scarring commenced soon after initiation of medical therapy, and resulted in left nephrectomy and reconstruction with colocystoplasty, right ureteral reimplantation and urethroplasty. The rapidity of disease progression and severity of tissue destruction in this case suggest that patients with genitourinary tuberculosis require close supervision starting at initiation of drug treatment. When complications do arise appropriate surgical intervention may become mandatory to decrease morbidity and to conserve renal function. The pathophysiology, clinical manifestations, radiological findings and treatment of genitourinary tuberculosis are reviewed.
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PMID:Primary genitourinary tuberculosis: rapid progression and tissue destruction during treatment. 395 32

Supravesical urinary diversion by ureterotransversopyelostomy (UTPS) with unilateral nephrostomy was performed in 57 patients. The age of the 33 women ranged between 42 and 86 (mean 65), of the 24 men between 39 and 77 (mean 62) years. With a single exception, the indication for diversion was palliative: 25 patients had advanced bladder cancer (T3/T4), and 19 had undergone irradiation; 24 patients showed vesico- (recto-) vaginal fistulas due to radiation for gynecological carcinomas. In 2 patients, the indication was urge-incontinence following former radiation therapy for uterine cancer, whereas 5 patients had advanced malignancies originating in the urethra, prostate, rectum or ovaries. The only case without malignant disease exhibited a contracted bladder of uncertain origin, together with an immunodeficiency syndrome. The approach used was an upper abdominal cross incision. In 35 patients, an anastomosis was done between the ureter and contralateral renal pelvis; in 22, a terminoterminal ureteral anastomosis was performed. For placement of the nephrostomy (49 terminal, 8 U-tube nephrostomies) we preferred the right side in 41 of 57 cases. The mean follow-up time in the 22 surviving patients was 36 months (range 2-108); the mean survival time in the 30 deceased patients was 12 months (range 0.5-87). With 4 exceptions, the cause of death was progression of the underlying tumors. Operative lethality was 1.75%, early surgical complication rate 7%, and rate of severe late complications 10.5%. The most frequent problems arose from the nephrostomy and from stenoses of the ureteropelvic or ureteral anastomosis.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Ureterotransversopyelostomy with unilateral nephrostomy]. 409 Jan 30

Closure of the ureter with a mixture of butyl-2-cyano-acrylate and lipiodol was performed for the palliative management of urinary incontinence in 4 patients (unilaterally in 3, bilaterally in 1), after urinary diversion had been provided by operative or percutaneous nephrostomy (inoperable vesico-(recto-)vaginal fistulas [2 patients] due to irradiated cervical carcinomas, contracted bladder due to irradiation [1 patient] and irradiated locally advanced prostatic carcinoma [1 patient]). In the first two patients the ureters were occluded by transurethral access using ureteral catheters followed in one case by dislocation of embolic material in the renal pelvis (without sequelae). The transrenal access for ureteral closure was employed in the two other patients using adjuvant balloon catheter occlusion. With this technique no complications were encountered. All patients were discharged free of complaints and completely dry. To achieve this result two patients had required a second ureteral embolisation.
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PMID:[Experience with transrenal ureteral occlusion (author's transl)]. 617 Jan 52

A 8-year-old girl was referred with both vesicoureteral reflux and repeated urinary infection since she was 30 months old. At 5 years old, she had had cystoscopy. Her excretory urogram (IVP) was almost normal; her voiding cystogram showed both vesicoureteral reflux of grade III and a maximum bladder capacity of 75 ml. At cystoscopy the ureteral orifices were in normal position of the trigone and the orifices were dilated like a golf-hole. Both ureters were reimplanted without ureter stents by the Cohen cross-trigonal advancement technique. Her IVP and a renograms postoperatively have shown normal kidney function and no urinary retention in either kidney. Her voiding cystograms have shown no vesicoureteral reflux. For 15 months after operation she has had no urinary infection. The Cohen cross-trigonal technique is a simple, safe and more applicable method than other anti-vesicoureteral reflux operations in cases of vesicoureteral reflux with contracted bladder.
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PMID:[The Cohen cross-trigonal technic for vesicoureteral reflux with contracted bladder in children]. 652 66

Late complications involving the bladder and ureter occasionally occur following irradiation to the minor pelvis. Intermittent light bleeding from the bladder can be contained by nonspecific installation therapy. With life-threatening hemorrhage, silver nitrate or formalin instillation is effective. The treatment of irradiation ulcers, irradiation contracted bladder, vesicovaginal fistulae, and late irradiation reactions of the ureter are discussed in incurable bladder contractions and vesicovaginal fistulae, a supravesicle urinary diversion is necessary.
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PMID:[Surgical problems following irradiation therapy: urology (author's transl)]. 733 51

The author showed the practical significance and expediency of performing reconstructive-plastic operations (57 patients) in surgical correction of severe pathology of the urinary tract. The indications for plastic operations were stenoses of various etiology, intraoperative traumas of the urinary tract, contracted bladder and the consequent ureterohydronephrosis, renal insufficiency. The choice of the tactics and method of surgical treatment should be strictly substantiated and based on the individual features of the urinary system pathology, the character of the intraoperative trauma of the ureter and bladder and its possible after-effect on the kidney. Taking into account the variability of the pathology and the length of the cicatricial narrowing of the pelvic-ureteral segment and ureter, and the degree of kidney constriction, variations of plastic operations differing in the complexity of the techniques were applied. These were small in volume flap plastics of the pelvic-ureteral segment and ureter (Calp-de-Virda, Baori, Demela) and intestinal plastics of the bladder in one of the modifications. The possibility of plastic operations in restoration of physiological urination and social rehabilitation of patients with urinary fistulas was determined. According to early and late-term postoperative follow-up, the results of the operation were favorable in 91.3% of cases. Postoperative mortality in different periods (7 days to 3 years) was 8.7%.
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PMID:[Plastic surgery in stenoses and intraoperative injuries of the urinary tract]. 747 9

An unusual case where a urethral catheter was indwelt in the left ureter is presented. A small contracted bladder and a patulous ureteral orifice appeared to be causative factors of this complication.
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PMID:Incorrect positioning of an indwelling urethral catheter in the ureter. 925 34


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