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作 者:Krishnendu Biswas Abhishek G.Singh Arvind P.Ganpule Ravindra B.Sabnis Mahesh R.Desai
机构地区:[1]Department of Urology,Muljibhai Patel Urological Hospital,Nadiad,Gujarat,India
出 处:《Asian Journal of Urology》2022年第2期193-196,共4页亚洲泌尿外科杂志(英文)
摘 要:Dear editor,“Ureteric stump syndrome(USS)”is a rare entity(incidence 0.8%–1.0%)with left-over in situ distal-ureter being the culprit[[1],[2],[3]].The presentation may be recurrent urinary tract infection(UTI),flank/abdominal pain,or hematuria[1,4].Although only few of the patients require intervention(approximately 1.1%–10%)[[1],[2],[3]],either with open excision of the stump[[1],[2],[3]]or via minimally invasive endoscopic approach[5,6],prompt diagnosis is often delayed.During simple nephrectomy,dilemma exists whether to consider concomitant total ureterectomy to eliminate the future risk of USS[4],or to consider subtotal-ureterectomy along with nephrectomy[[1],[2],[3]].In this letter,we present a retrospective analysis of clinical presentation,diagnostic approach,and management of three patients of USS(Table 1)treated at our centre and try to solve all these dilemmas.
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