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THERMAL RADIOFREQUENCY INDUCED PORCINE URETERAL STRICTURE: A CONVENIENT ENDOUROLOGIC MODEL

医学 输尿管 导管 肾积水 外科 解剖 泌尿系统
作者
Maurice Anidjar,P. Mongiat-Artus,Jean‐Philippe Brouland,P. Méria,Pierre Teillac,Alain Le Duc,Philippe Berthon,Olivier Cussenot
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
卷期号:161 (1): 298-303 被引量:17
标识
DOI:10.1016/s0022-5347(01)62135-9
摘要

No AccessJournal of UrologyInvestigative Urology1 Jan 1999THERMAL RADIOFREQUENCY INDUCED PORCINE URETERAL STRICTURE: A CONVENIENT ENDOUROLOGIC MODEL MAURICE ANIDJAR, PIERRE MONGIAT-ARTUS, JEAN PHILIPPE BROULAND, PAUL MERIA, PIERRE TEILLAC, ALAIN LE DUC, PHILIPPE BERTHON, and OLIVIER CUSSENOT MAURICE ANIDJARMAURICE ANIDJAR , PIERRE MONGIAT-ARTUSPIERRE MONGIAT-ARTUS , JEAN PHILIPPE BROULANDJEAN PHILIPPE BROULAND , PAUL MERIAPAUL MERIA , PIERRE TEILLACPIERRE TEILLAC , ALAIN LE DUCALAIN LE DUC , PHILIPPE BERTHONPHILIPPE BERTHON , and OLIVIER CUSSENOTOLIVIER CUSSENOT View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62135-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: To establish a reliable model of iatrogenic ureteral stricture mimicking the human clinical situation in order to experiment with new site-specific endourologic treatment concepts. Materials and Methods: After cystoscopic insertion of a 7F right ureteral catheter, we induced external thermal radiofrequency injury to the right upper third ureter at low power setting (10 W) using an open surgical approach in 13 pigs. Three pigs considered as controls underwent the same procedure without application of electrocautery. All 16 animals were initially assessed at 8 days; 3 study animals and the 3 controls were followed for 6 weeks. Results: No control animals had strictures. Significant upper third ureteral strictures with marked hydronephrosis where achieved in all study animals after a mean interval of 9 days, as evidenced by ultrasound examination and retrograde ureteropyelography. Endoscopic retrograde access to these strictures was always possible (mean length 1.4 cm.). Histologic examination displayed severe disorganization of the muscular layer by dense fibrosis composed of collagen bundles with few scattered fibroblasts. No spontaneous improvement of the stricture was observed in the 3 animals reassessed at 6 weeks. Conclusions: Externally applied radiofrequency energy to porcine ureter provides a reproducible model of fibrous stricture resembling its clinical counterparts. References 1 : Endoscopic management of ureteral strictures. J. Urol.1997; 157: 770. Link, Google Scholar 2 : Iatrogenic ureteral injuries: a 20-year experience in treating 165 injuries. J. Urol.1996; 155: 878. Link, Google Scholar 3 : Endosurgical techniques for the diagnosis and treatment of non-calculous disease of the ureter and kidney. In: . Edited by . Philadelphia: Saunders1992: 2231. chapt. 62. Google Scholar 4 : Histology of ureter after unsuccessful endoscopic intubated incision. J. Urol.1992; 147: 450. Link, Google Scholar 5 : Ureteral cell cultures II: collagen production and response to pharmacologic agents. J. Urol.1996; 156: 2067. Link, Google Scholar 6 : Gene therapy for vascular smooth muscle cell proliferation after arterial injury. Science1994; 265: 781. Google Scholar 7 : p21cip1 mediated inhibition of cell proliferation by overexpression of the gax homeodomain gene. Gene Dev.1997; 11: 1674. Google Scholar 8 : Prospects for site-specific delivery of pharmacologic and molecular therapies. JACC1994; 23: 1234. Google Scholar 9 : Balloon dilatation of ureteral strictures in dogs. J. Urol.1984; 131: 582. Link, Google Scholar 10 : Fluoroscopically guided incision of ureteral strictures in pigs with the cautery-wire balloon catheter: a Phase 1 study. J. Urol.1993; 149: 1178. Abstract, Google Scholar 11 : Comparison of formalin-induced porcine ureteral strictures with human ureteral strictures. J. Endourol.1988; 2: 271. Google Scholar 12 : Ureteral stricture model in the pig (abstract). J. Endourol.1991; 5: S63. Google Scholar 13 : Laparoscopic creation of ureteropelvic junction obstruction in the porcine animal model (abstract). J. Endourol.1994; 8: S50. Google Scholar 14 : Laparoscopic model for the creation of secondary ureteropelvic junction obstruction in the pig (abstract). J. Endourol.1995; 9: S76. Google Scholar 15 : Management of benign ureteral strictures: open surgical repair or endoscopic dilation. J. Urol.1989; 141: 285. Abstract, Google Scholar 16 : The unintubated ureterotomy endourologically revisited. J. Urol.1996; 156: 1160. Link, Google Scholar Laboratoire de Genetique et de Pathobiologie des Tumeurs Prostatiques, Departement d'Urologie, Hopital Saint Louis and the Laboratoire d'Anatomopathologie, Hopital Lariboisiere, Paris, France© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 161Issue 1January 1999Page: 298-303 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information MAURICE ANIDJAR More articles by this author PIERRE MONGIAT-ARTUS More articles by this author JEAN PHILIPPE BROULAND More articles by this author PAUL MERIA More articles by this author PIERRE TEILLAC More articles by this author ALAIN LE DUC More articles by this author PHILIPPE BERTHON More articles by this author OLIVIER CUSSENOT More articles by this author Expand All Advertisement PDF downloadLoading ...
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