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[The gynecologic ureter revisited].

Alberto Mario Marconi1

  • 1Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi, Varese. marcalb@libero.it

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|June 11, 2002
PubMed
Summary

Gynecological surgery can cause urological complications like ureteral division, ligation, or fistulas. Prompt surgical intervention, including reimplantation and fistula repair, effectively manages these adverse events.

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Complications

Context:

  • Urological lesions are a known risk of gynecological procedures.
  • This study analyzes complications from 1991-2001 at Varese Hospital.

Purpose:

  • To review the incidence and management of urological injuries following gynecological surgery.
  • To evaluate surgical outcomes for ureteral and bladder injuries.

Summary:

  • 23 female patients (mean age 52) experienced urological lesions post-gynecological surgery.
  • Complications included ureteral division (5), ligation (3), angulation (2), vesico-vaginal fistula (12), and uretero-vaginal fistula (1).
  • Surgical treatments ranged from ureteral anastomosis and reimplantation to fistula repair with omental interposition.

Impact:

  • Highlights the importance of recognizing and managing iatrogenic urological injuries.
  • Demonstrates successful surgical strategies for diverse ureteral and fistulous complications.
  • Informs surgical planning and patient care to minimize post-operative morbidity.

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