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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
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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.

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:

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  • 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.