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Related Experiment Videos

[Ureteral injuries. Diagnostic and treatment algorithm].

D Teber1, A Egey, A S Gözen

  • 1Urologische Klinik, Akademisches Lehrkrankenhaus Universität Heidelberg, SLK-Kliniken, Heilbronn. dogu.teber@slk-kliniken.de

Der Urologe. Ausg. A
|June 24, 2005
PubMed
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Iatrogenic ureteral injuries, often from pelvic surgery, are frequently diagnosed late. Early suspicion and advanced imaging like CT scans are crucial for timely diagnosis and treatment, significantly reducing complications.

Area of Science:

  • Urology
  • Surgical Complications
  • Diagnostic Imaging

Context:

  • Iatrogenic ureteral injuries are a significant complication, primarily resulting from gynecological and pelvic surgeries (75%).
  • Diagnosis is often delayed (66%), with a lack of hematuria being an unreliable indicator of injury.
  • Suspicion is key, especially after abdominal trauma, necessitating further evaluation.

Purpose:

  • To highlight the diagnostic challenges and delays in iatrogenic ureteral injuries.
  • To emphasize the importance of advanced imaging and prompt diagnosis.
  • To outline current treatment strategies for varying grades of ureteral damage.

Summary:

  • Gynecological/pelvic procedures are the main cause of iatrogenic ureteral injuries.
  • Delayed diagnosis (66%) and unreliable symptoms like hematuria complicate detection.

Related Experiment Videos

  • CT scans with delayed excretory images and retrograde ureterography are key diagnostic tools.
  • Treatment ranges from stenting for low-grade injuries to surgical repair for high-grade damage.

    • Impact:

    • Early diagnosis and treatment of ureteral injuries can decrease morbidity and keep complication rates below 5%.
    • Improved diagnostic protocols can lead to better patient outcomes and reduced healthcare costs associated with prolonged injuries.