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The management of delayed recognized ureteral injuries
The Journal of Urology
|February 1, 1978
Summary
Immediate recognition and treatment of ureteral injuries, especially iatrogenic ones, significantly improves outcomes compared to delayed management. This study documents the striking difference in results for ureteral injuries.
Area of Science:
- Urology
- Surgical Outcomes
- Trauma Management
Background:
- Ureteral injuries can be recognized immediately or delayed.
- Clinical suspicion of outcome differences based on timing exists but lacks documentation.
Purpose of the Study:
- To investigate the impact of timely recognition and treatment on ureteral injury outcomes.
- To document the difference in results between immediate and delayed management of ureteral injuries.
Main Methods:
- Retrospective review of 90 ureteral injury cases.
- Subdivision of cases by etiology (iatrogenic vs. traumatic) and time of recognition (immediate vs. delayed).
Main Results:
- Overall, immediate treatment showed a small difference in results compared to delayed treatment.
- Subgroup analysis revealed striking differences in outcomes for immediate versus delayed iatrogenic and traumatic ureteral injuries.
Conclusions:
- The timing of recognition and treatment critically impacts ureteral injury outcomes.
- Delayed management of ureteral injuries, particularly iatrogenic ones, is associated with poorer results.