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Objective: To describe our results and experience with the Acucise® cutting balloon device in ureteral strictures of benign origin and to compare success rates with other available minimal invasive endourologic procedures to clarify its value.   Methods: We performed a retrospective analysis of a prospectively kept database of all patients treated with Acucise® for non-malignant ureteral strictures between ureteropelvic and vesicoureteral junctions from 2004 until 2012. We retrieved data on perioperative diagnostic imaging, the Acucise® treatment performed, complications and outcome.   Results: Fourteen patients underwent Acucise® ureterotomy for ureteral strictures (mean age 59 years). A total of 21 strictures were treated. In all procedures, the ureterotomy was successful. In all patients, a double-J catheter was placed for 6 weeks. One intra operative bleeding complication was observed, treated conservatively. Overall success rate was 71% (mean follow-up 44.1 months).   Conclusion: Study results with Acucise® showed a comparable or even higher success rate than with other forms of endoureterotomy. Acucise®is a safe, effective and fast method with low associated morbidity and short hospital stays. In selected patients this is a suitable treatment option, which should always be considered for treating relatively short ureteral strictures of benign origin.

urology and nephrology open access journal

Acucise® Endoureterotomy: A Forgotten Treatment Option in Ureteral Strictures of Benign Origin between the Ureteropelvic and Ureterovesical Junctions; Long-Term Results