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A review of complications after ureteral reconstruction

Rosenfeld, Jonathan
; 
Boehm, Devin
; 
Raikar, Aidan
; 
Coskey, Devyn
; 
Lee, Matthew
; 
Ji, Emily
; 
Lee, Ziho
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Journal article
Date
2024-02-24
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Urology
Subject
Postoperative complication
 Stricture recurrence
 Ureteral reconstruction
 Urinary extravasation
 Urinary tract infection
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https://scholarshare.temple.edu/handle/20.500.12613/11801
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https://doi.org/10.1016/j.ajur.2024.02.007
Abstract
Objective: This study aimed to provide a comprehensive overview of the complications unique to ureteral reconstruction in adults, emphasizing their presentation, diagnosis, and management in the treatment of ureteral structure disease. Methods: This review involves an in-depth analysis of existing literature and case studies pertaining to ureteral reconstruction, with a focus on examining the range of complications that can arise post-surgery. Special attention is given to the presentation of each complication, the diagnostic process involved, and the subsequent management strategies. Results: Ureteral reconstruction can treat ureteral stricture disease with low morbidity; however, complications, although uncommon, can have severe consequences. The most notable complications include urinary extravasation, stricture recurrence, urinary tract infections, compartment syndrome, symptomatic vesicoureteral reflux, and Boari flap necrosis. Each complication presents unique diagnostic challenges and requires specific management approaches. Conclusion: Ureteral reconstruction is a highly effective treatment for ureteral stricture disease. Having a strong understanding of the potential complications that patients may experience following ureteral reconstruction is not only critical to adequately counsel patients but also facilitate prompt diagnosis and management of complications when they arise.
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Jonathan Rosenfeld, Devin Boehm, Aidan Raikar, Devyn Coskey, Matthew Lee, Emily Ji, Ziho Lee, A review of complications after ureteral reconstruction, Asian Journal of Urology, Volume 11, Issue 3, 2024, Pages 348-356, ISSN 2214-3882, https://doi.org/10.1016/j.ajur.2024.02.007. (https://www.sciencedirect.com/science/article/pii/S2214388224000201)
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Elsevier
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Asian Journal of Urology, Vol. 11, Iss. 3
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