Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children

  • 30 Accesses


Obstruction of the ureterovesical junction is an uncommon but well-recognized complication of ureteral reimplantation that traditionally has been treated by surgical correction [1, 5–9]. We report our experience with antegrade balloon dilation (ABD) of these strictures in two children. Obstruction was confirmed by diuretic renogram and pressure perfusion studies prior to ABD. Clinical follow-up was done at 3 months and 14 months, and ultrasonographic studies revealed resolution of the hydronephrosis. In addition, diuretic renograms showed complete washout of radiotracer. Morbidity was limited to episodes of pyelonephritis that readily responded to medical management. ABD of ureteral strictures is a relatively simple procedure with a potential for a high success rate and low morbidity. This modality should be considered as the first line of treatment in patients with distal ureteral obstruction after reimplantation.

This is a preview of subscription content, log in to check access.


  1. 1.

    Aliabadi H, Reinberg Y, Gonzalez R (1990) Percutaneous balloon dilation of ureteral strictures after failed surgical repair in children. J Urol 144: 486–488

  2. 2.

    Banner MP, Pollack HM (1984) Dilation of ureteral stenosis: techniques and experience in 44 patients. AJR 143: 789–793

  3. 3.

    Banner MP, Pollack HM, Ring EJ, Wein AJ (1983) Catheter dilation of benign ureteral strictures. Radiology 147: 427–433

  4. 4.

    Beckmann CF, Roth R, Bihrle III W (1989) Dilation of benign ureteral strictures. Radiology 172: 437–441

  5. 5.

    Carlton CE (1977) Injuries of the ureter. Urol Clin N Am 4: 33–44

  6. 6.

    Gibbons MD, Gonzales ET Jr (1983) Complications of antireflux surgery. Urol Clin N Am 10: 489–501

  7. 7.

    Glenn JF, and Anderson EE (1973) Complications of ureteral reimplantation surgery. Urol Surv 23: 243–260

  8. 8.

    Hendren WH (1974) Reoperation for failed ureteral reimplantation. J Urol 111: 403–411

  9. 9.

    Hendren WH (1976) Complications of ureteral reimplantation and megaureter repair. In: Smith RB, Skinner DG (eds) Complications of urologic surgery. WB Saunders, Philadelphia, pp 151–208

  10. 10.

    King LR, Coughlin PW, Ford KK, Brown MW, van Moore A (1984) Initial experience with percutaneous and transurethral ablation of postoperative ureteral strictures in children. J Urol 131: 1167–1170

  11. 11.

    Lojanipiwat B, Mital D, Fallon L, Koolpe H, Raja R, Badosa F, Po C, Morris M (1994) Management of ureteral stenosis after renal transplantation. J Am Coll Sur 179: 21–24

  12. 12.

    Oosterhof GON, Hoitsma AJ, Debruyne FMJ (1989) Antegrade percutaneous dilation of ureteral strictures after kidney transplantation. Transplant Int 2: 36–39

  13. 13.

    Reimer DE, Oswalt C (1981) Iatrogenic ureteral obstruction treated with balloon dilation. J Urol 126: 689–690

Download references

Author information

Correspondence to C. A. Angel.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Angel, C.A., Kocurek, J.N., Walser, E.M. et al. Antegrade balloon dilation of postoperative ureterovesical junction obstruction in children. Pediatr Surg Int 11, 562–565 (1996). https://doi.org/10.1007/BF00626067

Download citation

Key words

  • Balloon dilation
  • Ureteral reimplantation
  • Ureteral stricture