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[Ureteral injuries caused by external force]

R Kühn1, W Schafhauser, A Sigel

  • 1Urologische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.

Der Urologe. Ausg. A
|May 1, 1995
PubMed
Summary

Ureteral injuries are classified as partial or complete tears, guiding distinct endoscopic or open surgical treatments. Understanding closed versus open urinoma pathophysiology impacts urgent care strategies.

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Area of Science:

  • Urology
  • Trauma Surgery

Background:

  • Ureteral injuries share historical pathologic mechanisms.
  • Current diagnostics differentiate partial traumatic tears from complete tears.
  • Urinomas are classified as closed or open, influencing prognosis.

Purpose of the Study:

  • To outline diagnostic distinctions in ureteral injuries.
  • To correlate injury type with therapeutic strategies.
  • To compare outcomes based on urinoma pathophysiology.

Main Methods:

  • Review of 16 ureteral injury cases treated over 22 years.
  • Analysis of diagnostic criteria for ureteral tears.
  • Literature review on closed and open urinoma management.

Main Results:

  • Partial ureteral tears are managed endoscopically.
  • Complete ureteral tears necessitate open surgery.
  • Open urinomas present a less favorable prognosis than closed urinomas.

Conclusions:

  • Diagnostic differentiation of ureteral injuries dictates treatment.
  • Urinoma type is critical for prognosis and urgency assessment.
  • Tailored therapeutic strategies improve patient outcomes.

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