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Ureteric injuries following pelvic operations
V O Oboro1, F O Dare, S O Fadiora
1Department of Obstetrics and Gynaecology, College of Health Sciences, Lautech Teaching Hospital, PMB 4400, Osogbo, Osun State, Nigeria.
Background:
Iatrogenic injuries to the ureter are hazardous complications of pelvic operations, causing severe morbidity and even mortality.
Objective:
To present our 10 years experience in the management of such ureteric injuries.
Design:
A retrospective study carried out between January 1990 and December 1999.
Setting:
Two busy health institutions, namely Ife State hospital and Wesley Guild Hospital, both of the Obafemi Awolowo University (OAU) Teaching Hospitals Complex, Ile-Ife, Nigeria.
Results:
The incidence of iatrogenic injury was 0.4%. Ureteral transection was the commonest lesion (58%). Ureteroneocystostomy was performed in 70% of the operated cases. Those diagnosed at the time of injury and treated with end-to-end anastomosis had the best results.
Conclusion:
The proper identification and, when necessary, isolation of the ureter during operations in which there is a risk is crucial in reducing the incidence of ureteral injuries.