RESUMEN
Objective: To precise the clinical features and evaluate the accuracy of treatment by JJ endo-prsthesis associated with antituberculous medications and more or less corticoid treatment
Patients and Methods: From January 1992 to December 2001, 12 patients presenting with ureteral strictures due to tuberculosis were treated by JJ catheter for a mean of 12 months in association with antituberculous medication for 8 months and corticoid treatment in 2 cases. The population included 6 males and 6 females aged 20 - 73 years [mean age: 40 years]
Results: The most frequent clinical expressions were pain [66.66%] and haematuria [41.6%]. The stricture was unilateral and unifocal in 4 casers, unilateral and bifocal in 3 cases, multifocal in 3 cases. The controlateral kidney was normal in 9 cases and mastic in 3 cases. The stricture was bilateral in 2 cases, located on the right ureter in 6 cases and on the left side in 4 cases. The outcome was favourable in 9 cases with complete disappearance of the stricture in 4 cases, a partial regression of the stricture and the pyelo-calyceal dilatation in 5 cases, while the condition of the remaining 3 cases deteriorated 6 months after removal of the JJ catheter leading to reconstructive surgery using a Boari flap [1 case], a psoas hitch [1 case] and uretero-pelvic junction plastic surgery [1 case]
Conclusion: JJ endoprosthesis associated with antituberculous medication is proposed as an alternative treatment to classic surgery. A corticoid treatment used early can be helpful to reduce the stricture