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[External ureteral injuries].

Murad G Asali1, Igor Romanowsky, Jacob Kaneti

  • 1Urology Department, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheba, Israel. muradasali@hotmail.com

Harefuah
|November 1, 2007
PubMed
Summary
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Traumatic ureteral injuries, though rare, require prompt diagnosis and management to prevent severe complications. Early identification and appropriate treatment of ureteral injuries are crucial for preserving renal function.

Area of Science:

  • Urology
  • Trauma Surgery
  • Diagnostic Imaging

Context:

  • Traumatic ureteral injuries are uncommon, with blunt trauma cases often reported individually.
  • Simultaneous bilateral ureteral injury is exceptionally rare.

Purpose:

  • To outline diagnostic imaging modalities for suspected ureteral injuries.
  • To describe management strategies for partial and complete ureteral transections.
  • To emphasize the importance of timely diagnosis and treatment.

Summary:

  • Imaging diagnosis relies on computerized tomography with contrast and delayed scans as the gold standard, supplemented by excretory urography or retrograde pyelography if needed.
  • Management varies from ureteral stent placement for partial tears to surgical repair with anastomosis and omental wrap for complete transections.

Related Experiment Videos

  • Prompt diagnosis and treatment of ureteral injuries are vital to avert complications like sepsis, strictures, and renal loss.

    • Impact:

    • Highlights the critical need for a high index of suspicion in diagnosing ureteral trauma.
    • Underscores the potential for severe immediate and delayed complications if diagnosis or treatment is delayed.
    • Emphasizes the link between appropriate management and preservation of renal function.