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Related Experiment Videos

Penetrating ureteral trauma.

Gustavo P Fraga1, Gustavo M Borges, Mario Mantovani

  • 1Division of Trauma Surgery, School of Medicine, State University of Campinas, Unicamp, Campinas, Sao Paulo, Brazil. fragagp@uol.com.br

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|May 10, 2007
PubMed
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Reply by Authors.

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The Journal of urology·2026

Early diagnosis and prompt management of ureteral trauma are crucial. Despite challenges in identifying ureteral injuries, especially after penetrating trauma, prompt surgical intervention can lead to favorable outcomes without mortality.

Area of Science:

  • Urology
  • Trauma Surgery
  • Abdominal Trauma Management

Background:

  • Ureteral trauma is a significant concern in abdominal injury cases.
  • Penetrating injuries frequently lead to ureteral lesions.
  • Associated injuries complicate the management of ureteral trauma.

Purpose of the Study:

  • To report experience in managing ureteral trauma.
  • To emphasize the importance of early diagnosis and correct treatment.
  • To assess the impact of associated injuries on outcomes.

Main Methods:

  • Retrospective analysis of 20 patients with ureteral lesions from 1487 laparotomies for abdominal trauma (1994-2002).
  • Focus on penetrating injuries, diagnostic methods, and treatment strategies.
  • Evaluation of complications and factors influencing outcomes.

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Main Results:

  • All 20 patients were male, with a mean age of 27; 90% sustained gunshot wounds.
  • Ureteral injury diagnosis was primarily intra-operative (85%); 10% were initially missed.
  • High complication rate (55%); no mortalities observed.

Conclusions:

  • A high index of suspicion is essential for diagnosing ureteral injuries.
  • Thorough exploration of retroperitoneal hematoma aids diagnosis but is not infallible.
  • Prompt management is key to avoiding mortality in ureteral trauma cases.