TREATMENT OF A URETERAL STRICTURE FOLLOWING FAILED MANAGEMENT WITH URETERAL WALL STENT

R. H., a 45-year-old woman with a history of stage B cervical carcinoma, underwent definitive treatment with 9,500 rad external beam radiation therapy. Six months later she presented to the gynecology service with right flank pain and was found to have right hydroureteronephrosis. A right percutaneous nephrostomy tube was placed and an antegrade nephrostogram demonstrated a 5 cm. distal ureteral stricture. At that time a wall stent was placed across the stricture into the distal ureter via a percutaneous approach and expanded to dilate the strictured portion of the ureter. The percutaneous nephrostomy tube was clamped and the patient was discharged home. She presented 2 weeks later with