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For instance, Radiotherapy of cervical cancer can cause ureteric stricture in 2.2% of patients at 10 years. [3] Radiotherapy had been identified as a modality of treatment of several cancers in the pelvis and the abdomen which may lead to ureteric stricture formation among other urological adverse effects too such as radiation induced cystitis.
Bladder outlet obstruction is included in the spectrum of congenital anomalies of the kidney and urinary tract (CAKUT). CAKUT is the most common cause of birth defects, occurring in 1 out of 1000 live births, and accounts for approximately half of all cases of chronic kidney disease and end-stage renal disease in children. [1] [2]
This balloon is inflated with pure contrast agent via the pusher and remains in situ in the ureter to keep the previous treated stricture dilated while the expanded urothelium heals. Urine can drain through the central channel of this catheter.
Urinary tract obstruction is a urologic disease consisting of a decrease in the free passage of urine through one or both ureters and/or the urethra. It is a cause of urinary retention. Complete obstruction of the urinary tract requires prompt treatment for renal preservation. [1]
The pain can be excruciating when urine is not able to flow out. Moreover, one can develop severe sweating, chest pain, anxiety and high blood pressure. Other patients may develop a shock-like condition and may require admission to a hospital. Serious complications of untreated urinary retention include bladder damage and chronic kidney failure ...
The catheter has a relatively large-diameter central lumen and a shaft of 2 mm (6 Fr.). The balloon is in two sections: a long narrow section or shaft and a larger cranial bulb. The larger cranial bulb prevents distal migration, while the longer narrow section maintains the increased diameter of a predilated stricture in the ureter section.
In fact, one meta-analysis of 13 studies found that those who sat for more than eight hours a day and weren’t physically active had a risk of dying similar to people who were obese or smoked ...
Mean follow-up was 6.5 years. Complications include common ureteral narrowing (one patient); subsequent kidney removal, or nephrectomy (one patient); recurrence of disease with ureteral obstruction (one patient); and disease progression in a case of inflammation of blood vessels, or vasculitis (one patient).