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[Ureteral iatrogenic injury of gynecologic cause. Our experience]
C A Allepuz Losa1, C González Enguita, M J Gil Sanz
1Servicio de Urología, Hospital Miguel Servet, Zaragoza, España.
Abstract:
In recent years technical and technological advancements in the field of urology have led to the enhancement of iatrogenic lesions of gynecological origin. Herein we describe our experience of 15 years during which 76 renal units were treated with a mean follow-up of 29.3 months. In 46 renal units diversion was performed previously. The surgical technique was a therapeutic success in 89.28% of the cases. Ureterovesical reinsertion with vesical lateralization was the most commonly used technique. We underscore the importance of microsurgical transureteroureterostomy as a useful alternative as well as the use of effective less invasive endourological procedures.