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[Ureteral stenosis secondary to methacrylate used in total hip arthroplasty]
E Tremps Velázquez1, M Ramón Dalmau, D Garcia Rojo
1Servicio de Urología, Hospital de San Rafael, Barcelona, España.
Objectives:
The urological complications in orthopedic surgery, the mechanisms of injury and its treatment are discussed.
Methods/Results:
Herein we describe a case of ureterohydronephrosis arising from extrinsic ureteral compression by cement utilized in total hip arthroplasty in a patient with a solitary kidney.
Conclusions:
The risk of acetabular perforation and subsequent migration of the cement into the pelvic cavity must be taken into account in patients undergoing hip replacement surgery. Conservative endourological management should first be attempted in the event of ureteral involvement, although resolution is by surgical repair in most cases.