Endoscopic realignment in the management of complete transected ureter
Chunlai Liu1, Xiling Zhang, Dongwei Xue
1Department of Urology, The Fourth Hospital of China Medical University, 4 Chongshan Road, Shenyang, 110032, China.
International Urology and Nephrology
|August 9, 2013
Summary
Endoscopic realignment successfully treated iatrogenic complete transected ureteral injuries in eight patients. This minimally invasive approach offers a safe and effective initial treatment option for these complex injuries.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Iatrogenic ureteral injuries, particularly complete transections, pose significant management challenges.
- Delayed recognition of these injuries can complicate treatment and impact outcomes.
Purpose of the Study:
- To evaluate the feasibility and outcomes of endoscopic realignment for managing delayed recognized iatrogenic complete transected ureteral injuries.
- To present the surgical experience with this minimally invasive technique.
Main Methods:
- Eight patients with iatrogenic complete transected ureteral injuries underwent endoscopic realignment.
- The procedure combined antegrade flexible ureteroscopy and retrograde rigid ureteroscopy.
- Three double J stents were placed to maintain ureteral patency post-procedure.
Main Results:
- All eight endoscopic realignment procedures were technically successful with no major complications.
- The average injury length was 1.9 cm, with a mean hospitalization of 8 days.
- At a mean follow-up of 21.5 months, most patients were free of obstruction, with good renal function preserved.
Conclusions:
- Endoscopic realignment is a safe and effective initial treatment for selected cases of iatrogenic complete transected ureteral injuries.
- This minimally invasive technique avoids open surgery and associated morbidity.
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