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[Iatrogenic ureteral injury].
Edgar Antonio Granados1, Carlos Alfredo Amenabar, Angel Valle
1Servicio de Urología, Hospital General de Enfermedades Z 9, Instituto Guatemalteco de Seguridad Social, Guatemala.
Archivos Espanoles De Urologia
|February 7, 2004
Summary
Hysterectomy is the most common cause of ureteral injury, often affecting the distal ureter. Ureteral reimplantation with a Boari
Area of Science:
- Urology
- Surgical Complications
Context:
- Iatrogenic ureteral injuries are a significant concern in abdominal and pelvic surgery.
- Understanding the causes and optimal management of these injuries is crucial for patient outcomes.
Purpose:
- To identify the primary causes of ureteral damage during surgery.
- To evaluate effective surgical techniques for repairing severe ureteral lesions.
Summary:
- This study reviewed 25 cases of ureteral injury from abdominal/pelvic surgery (excluding endoscopic).
- Hysterectomy was the most frequent cause, with distal ureter and right side most affected.
- Pain, incontinence, and fever were common symptoms; diagnosis via IV urography and ultrasound.
Impact:
- Highlights hysterectomy as a high-risk procedure for ureteral injury.
- Suggests ureteral reimplantation with a Boari's flap as a successful treatment for severe distal ureteral damage.
- Informs surgical practice to minimize ureteral trauma and improve repair strategies.