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Ureteral injuries: external and iatrogenic
Sean P Elliott1, Jack W McAninch
1Department of Urology, University of California, San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, 3A-20, San Francisco, CA 94110, USA. LAYLA@itsa.ucsf.edu
The Urologic Clinics of North America
|February 21, 2006
Summary
Ureteral injuries, though rare, increase patient morbidity. Prompt identification and tailored evaluation by urologists are crucial for effective management of these injuries.
Area of Science:
- Urology
- Surgical Injury Management
Background:
- Iatrogenic and traumatic ureteral injuries are infrequent but serious complications.
- These injuries are linked to significant patient morbidity, necessitating a high index of suspicion.
Purpose of the Study:
- To outline diagnostic and management strategies for ureteral injuries.
- To emphasize the importance of clinical evaluation tailored to the specific situation.
Main Methods:
- Review of diagnostic approaches for ureteral injuries.
- Description of surgical repair techniques based on injury location.
Main Results:
- Most ureteral injuries present as short transections.
- Successful repair can be achieved through ureteroureterostomy (proximal/mid-ureter) or ureteroneocystostomy (distal ureter).
Conclusions:
- Urologists must be adept at identifying ureteral injuries.
- Appropriate surgical repair depends on the location and type of ureteral transection.