Management of Iatrogenic Ureteral Injury.
- Author:
Ki Shin SONG
1
;
Suk Sahn PARK
Author Information
1. Presbyterian Medical Center, JeonJu, Korea.
- Publication Type:Original Article
- Keywords:
ureteral injury
- MeSH:
Abscess;
Delayed Diagnosis;
Diagnosis;
Drainage;
Humans;
Nephrectomy;
Nephrostomy, Percutaneous;
Postoperative Period;
Stents;
Ureter*;
Urinary Catheterization;
Urinary Catheters
- From:Korean Journal of Urology
1989;30(3):390-395
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We treated 11 patients with iatrogenic ureteral injuries during a 4-year period: Gynecologic operations were the most common antecedent surgical procedures (82 percent). The diagnosis of ureteral injuries was made immediately in 4 patients and was delayed 3 to 56 days in 7. Three of the 4 injuries recognized during an operation were repaired successfully at the time of injury ; the primary repair in the remaining patient leaked and ultimately resulted in a nephrectomy because of subhepatic and retroperitoneal abscess formation. In the delayed diagnosis group, retrograde ureteral catheterization was successful in only 1 of all attempts. Of the 7 patients with injuries recognized in the postoperative period. 4 were managed successfully with ureteral stenting or percutaneous nephrostomy alone 3 required surgical after temporary percutaneous nephrostomy drainage.
