URETERAL OBSTRUCTION FOLLOWING AORTOFEMOR AL GRAFT IMPLANTATION

Ureteral obstruction as a complication of aortofemoral graft implantat ion develops more often than initially thought. The current literature reflects controversy regarding incidence as well as therapeutic metho d of choice. This retrospective study examined 10 patients who develop ed ureteral obstruction after graft implantation. The interval between the bypass-operation and diagnosis of ureteral obstruction was from 1 to 30 months (mean interval: 7.4 months). 8 patients were treated wit h double J-stents. Ureterolysis with intraperitonealisation of the ure ter was performed in 7 patients. Obstruction was resolved in 6 patient s and in 1 patient a nephrectomy had to be performed. A review of the literature is given and urological follow-up and therapeutic modalitie s in these patients are discussed.UreteraI obstruction as a complicati on of aortofemoral graft implantation develops more often than initial ly