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Updated: Jan 29, 2026
14:05
A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
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[Management of ureteral injuries]
S Ledderose1, V Beck2, M Chaloupka1
1Urologische Klinik und Poliklinik, Klinikum Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
Der Urologe. Ausg. A
|February 9, 2019
Summary
Ureteral injuries, often from surgery, present non-specific symptoms. Prompt diagnosis and appropriate management, like ureteral splinting or surgical repair, are crucial to prevent complications.
Area of Science:
- Urology
- Surgical Complications
Background:
- Ureteral injuries are rare, comprising <3% of genitourinary trauma.
- Iatrogenic causes, particularly during abdominal surgery, are most common.
- Delayed diagnosis of ureteral injury increases complication rates due to non-specific symptoms.
Purpose of the Study:
- To highlight the importance of early diagnosis for ureteral injuries.
- To review diagnostic modalities and treatment strategies for ureteral injuries.
Main Methods:
- Review of diagnostic techniques including direct inspection, retrograde ureteropyelography, and computed tomography (CT) urography.
- Correlation of injury characteristics (time, extent, location) with management decisions.
Main Results:
- Non-specific symptoms often delay diagnosis.
- CT urography is a routine diagnostic tool.
- Treatment is tailored to injury severity: ureteral splinting for minor injuries, surgical reconstruction for severe damage.
Conclusions:
- Early consideration of ureteral injury is vital.
- Diagnostic workup should be initiated promptly.
- Management strategies vary from conservative splinting to complex surgical reconstruction based on injury grade.
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