Evaluation of optimal stent size after endourologic incision of ureteral strictures

J Endourol. 1995 Feb;9(1):15-22. doi: 10.1089/end.1995.9.15.

Abstract

The stent size necessary to promote optimal ureteral healing after an endoureterotomy is not known. We compared healing of an endoureterotomy over a 7F indwelling ureteral stent with healing over a 14F endopyelotomy stent. A midureteral stricture was created in each of 25 anesthetized female minipigs using an electrified stone basket passed retrograde. Six weeks later, the stricture was incised with a 24F cutting balloon device. Twenty pigs were randomized to receive a 7F or a 14F stent; four control pigs received neither incisions nor stents. At 1 week, a radiograph was performed to confirm proper stent position, and the stents were removed. At 3 months, a retrograde ureterogram was performed, and the ureters were examined grossly and harvested for histologic studies. Two of the ten pigs in each study group developed a recurrent stricture. The use of a 14F stent provided no advantage over the use of a smaller, more easily positioned 7F stent.

MeSH terms

  • Animals
  • Equipment Design
  • Evaluation Studies as Topic
  • Female
  • Recurrence
  • Stents*
  • Swine
  • Swine, Miniature
  • Treatment Outcome
  • Ureteral Obstruction / complications
  • Ureteral Obstruction / pathology
  • Ureteral Obstruction / surgery*
  • Urinary Tract Infections / complications
  • Urinary Tract Infections / microbiology
  • Urine / microbiology