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April 21, 1951

BILATERAL INTRAMURAL STRICTURES OF THE URETERS AFTER TRANSURETHRAL RESECTION OF THE PROSTATE

Author Affiliations

Chicago

From the Departments of Urology, Wesley Memorial Hospital and Northwestern University Medical School.

JAMA. 1951;145(16):1249-1251. doi:10.1001/jama.1951.02920340027008
Abstract

Of the complications occurring after transurethral electroresection of the prostate, I have seen no mention of bilateral narrowing of the intramural portion of the ureters. Scarring and fibrosis apparently occur occasionally after removal of the prostate with the cutting current, and the true condition may be overlooked. This report is made to call attention to this serious condition and to suggest early diagnosis and adequate treatment.

On July 9, 1948, a patient with carcinoma of the prostate, who had had four previous transurethral resections during a period of six years, had a sudden occlusion of the right ureteral orifice. All attempts at dilating or catheterizing this ureter were unsuccessful because of apparent fibrous constriction and not because of carcinomatous involvement of this area. This patient, who had been on estrogen therapy for six years, continued in good health although there were complete closure of the right ureter and no apparent

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