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Stricture of the ureter

The ureter is the organ that is responsible for the outflow of urine from the kidney. Narrowing of the ureter (stricture) leads to impaired kidney function.
Symptoms
Any violation of the outflow of urine from the kidney can be a symptom of stricture. Stricture of the upper third of the ureter or stricture of the pelvic-ureteral segment is most common. It is extremely important to timely identify and treat the disease in the early stages, when it has not yet spread along the entire length of the ureter. Otherwise, complex reconstructive surgery is required.
Diagnostics
Computed tomography with contrast is used to detect the disease, and in some cases endoscopic examinations are used.
Methods of treatment of ureteral stricture at the European Medical Center (EMC):
  • Laparoscopic surgery. The method consists in excision of the affected area and further connection of healthy tissues.
  • Endoscopic balloon dilation. The narrowed area is expanded using a special catheter. Constant X-ray imaging and the use of a flexible fibroscope make it possible to completely eliminate the stricture of the ureter and normalize the excretion of urine from the kidney into the ureter. 
  • Endoscopic correction. A laser treatment method in which a special tube with a thickening is placed in the stricture, which expands the narrowed area and restores the outflow of urine.
  • Reconstructive surgery. It is performed in the case when a total lesion of the ureter is detected. During the operation, the ureter is replaced by part of the intestine.
Advantages of the European Medical Center:
  • For the treatment of ureteral stricture, EMC uses only the most modern and minimally traumatic techniques that have proven their effectiveness.
  • Surgical treatment is performed using endoscopic and laparoscopic equipment, including the Da Vinci Si HD robot.
  • A short recovery period after the intervention. In most cases, the patient returns home two days after the operation.
  • Highly qualified urologist surgeons with experience in Europe, the USA, and Israel.
  • All types of diagnostics are available around the clock.
  • A comfortable hospital with single and double rooms, meals according to an individual menu.
  • If necessary, doctors of various specializations participate in the treatment of the patient.
  • All types of emergency, emergency and ambulance services. 
 
Ureteral stricture treatment in EMC is performed by a urologist, oncologist surgeon, President of the Association of Young Urologists of Russia (AMUR) Iskander Abdullin is an instructor in performing demonstration laparoscopic and robot-assisted operations for urologists in Europe and Russia.
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I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
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City: Tyumen
Gratitude
Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

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I got ALL my questions answered
I was at the consultation of Professor Vsevolod Borisovich Matveev... I got ALL my questions answered... And even more...In a word-not a man, but a HUMAN BEING...!!! The staff is friendly, answers all questions, helps, etc... People with health problems come in...They all have no
time for this or that...Employees understand all this and make their stay in the clinic as comfortable as possible...
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City: Moscow
Thanks to A. V. Kovalenko
Good afternoon! Alexey Vasilyevich Kovalenko received a patient in the acute phase of inflammation after examination in another clinic ("clinic" is the key here) with a diagnosis of lifelong catheterization from the head of the urology department. In JSC " EMC " doctor Alexey
Vasilyevich removed the inflammation, established a diagnosis, which was confirmed a month later by additional examinations and successfully performed the operation.The patient is sent home without a catheter to live, work, raise children and be happy.There are no words in the world to express our gratitude to Alexey Vasilyevich!We believe that the clinic of JSC "EMC "(Shchepkina 35) should be infinitely proud of such a specialist and professional in their field!And we wish our doctor a long long life, successful operations and thank you for meeting a real doctor!
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