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[Ureteral complications of retroperitoneal prosthetic vascular surgery]
J J Ballesteros Sampol1, F Vidal Barraquer, A Guzmán Fernández
1Servicios de Urología y Cirugía Vascular, Hospital de la Esperanza, Barcelona.
Objective:
Ureteral obstruction following retroperitoneal vascular by-pass has rarely been reported in the international world literature (only 169 cases). That's why we present three new cases to contribute at best knowledge of this iatrogenic disease.
Material And Method:
Our cases were diagnosed by symptoms (number 2 and 3) and incidentally (number 1). The case 3 is exceptional because only 6 cases were previously described.
Results:
Three different treatments were applied in our cases. The urinary fistula resulted into nephrectomy and the others were treated by endourological and reconstructive methods. We noted that the added comorbidity factors in all these cases make the pronogstic hazardous.