Dnyanamay

Open Access Open Access  Restricted Access Subscription Access

Case Report of Bilateral Ureteric Injury and its Management


Affiliations
1 Department of General Surgery, B.J.G.M.C. and S.G.H. Pune, India
 

Injury to the ureter is a potentially devastating complication of modern surgery. The ureters are most often injured in gynecologic, colorectal, and vascular pelvic surgery. There is also potential for considerable ureteral injury during endoscopic procedures for ureteric pathology such as tumor or stones. We are presenting this case of bilateral ureteric injury in 50 years old female on account of its rarity and its successful management.

Keywords

Ureteric Injury.
User
Notifications
Font Size

  • Saidi MH, Sadler RK, Vancaillie TG, et al. Diagnosis and management of serious urinary complications after major operative laparoscopy. Obstet Gynecol.1996 Feb. 87(2):272-6.

  • TamussinoKF,LangPF,BreinlE.Ureteralcomplications with operative gynecologic laparoscopy. Am J Obstet Gynecol. 1998 May. 178(5):967-70.

  • Ralph G, Tamussino K, Lichtenegger W. 19 Urological complications after radical abdominal hysterectomy for cervical cancer. Baillière’s Clinical Obstetrics and Gynaecology. 1988;2(4):943–952.

  • 2. Ku JH, Kim ME, Jeon YS, Lee NK, Park YH. Minimally invasive management of ureteral injuries recognised late after obstetric and gynaecologic surgery. Injury. 2003;34(7):480–483.

  • 3. Rafique M, Arif MH. Management of iatrogenic ureteric injuries associated with gynecological surgery. International Urology and Nephrology. 2002;34(1):31–35.

  • 4.LiapisA,BakasP,GiannopoulosV,CreatsasG.Ureteral injuries during gynaecological surgery. International Urogynecology Journal. 2001;12(6):391–394.

  • Ito E, Saito T. Nerve-preserving techniques for radical hysterectomy. European Journal of Surgical Oncology. 2004;30(10):1137–1140.

  • Gill H, Broderick GA. Urologic complications of gynecologic surgery. Vol 13. AUA Update Series. 1994:254-9.

  • Adelman MR, Bardsley TR, Sharp HT. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. J Minim Invasive Gynecol. 2014 Jul-Aug. 21(4):558-66.

  • Miller EA. Ureteroureterostomy and Transureteroureterostomy. Smith JA Jr, Howards SS, Preminger GM, Eds. Hinman’s Atlas of Urologic Surgery. 3rd ed. Phiuladelphia PA: Saunders; 2012. 747-50.

  • Hodges CV, Barry JM, Fuchs EF, et al. Transureteroureterostomy: 25-year experience with 100 patients. J Urol. 1980 Jun. 123(6):834-8.

  • Mathews R, Marshall FF. Versatility of the adult psoas hitch ureteral reimplantation. J Urol. 1997 Dec.158(6):2078-82.

  • Konigsberg H, Blunt KJ, Muecke EC. Use of Boari flap in lower ureteral injuries. Urology. 1975 Jun. 5(6):751-5.

  • Abboudi H, Ahmed K, Royle J, Khan MS, Dasgupta P, N’Dow J. Ureteric injury: a challenging condition to diagnose and manage. Nat Rev Urol. 2013 Feb. 10(2):108-15.

  • Lee Z, Kaplan J, Giusto L, Eun D. Prevention of iatrogenic ureteral injuries during robotic gynecologic surgery: a review. Am J Obstet Gynecol. 2015 Oct 28.

  • Jones N, Fleming ND, Nick AM, Munsell MF, Rallapalli V, Westin SN, et al. Conversion from robotic surgery to laparotomy: a case-control study evaluating risk factors for conversion. Gynecol Oncol. 2014 Aug. 134(2):238-42.

  • Gellhaus PT, Bhandari A, Monn MF, Gardner TA, Kanagarajah P, Reilly CE, et al. Robotic management of genitourinary injuries from obstetric and gynaecological operations: a multi-institutional report of outcomes. BJU Int. 2014 Apr 21.

  • Hoch WH, Kursh ED, Persky L. Early, aggressive management of intraoperative ureteral injuries. The Journal of Urology. 1975;114(4):530–532.

  • Selzman AA, Spirnak JP. Iatrogenic ureteral injuries: a 20-year experience in treating 165 injuries. The Journal of Urology. 1996;155(3):878–881.

  • Giberti C, Germinale F, Lillo M, Bottino P, Simonato A, Carmignam C. Obstetric and gynaecological ureteric injuries: treatment and results. BJU International. 1996;77(1):21–26.

  • Reddy CJ, Heman-AchKah CA, Gelister JSK. Ureteroscopic salvage of a uretero-vaginal fistula. BJU International. 1997;80(5):817–818.

  • Tsai CK, Taylor FC, Beaghler MA. Endoscopic ureteroureterostomy: long-term followup using a new technique. The Journal of Urology. 2000;164(2):332– 335.


Abstract Views: 155

PDF Views: 97




  • Case Report of Bilateral Ureteric Injury and its Management

Abstract Views: 155  |  PDF Views: 97

Authors

Gajanan R. Ekbote
Department of General Surgery, B.J.G.M.C. and S.G.H. Pune, India
M. Kamble
Department of General Surgery, B.J.G.M.C. and S.G.H. Pune, India
S. Chaudhari
Department of General Surgery, B.J.G.M.C. and S.G.H. Pune, India
A. Bhagwat
Department of General Surgery, B.J.G.M.C. and S.G.H. Pune, India
S. Patil
Department of General Surgery, B.J.G.M.C. and S.G.H. Pune, India

Abstract


Injury to the ureter is a potentially devastating complication of modern surgery. The ureters are most often injured in gynecologic, colorectal, and vascular pelvic surgery. There is also potential for considerable ureteral injury during endoscopic procedures for ureteric pathology such as tumor or stones. We are presenting this case of bilateral ureteric injury in 50 years old female on account of its rarity and its successful management.

Keywords


Ureteric Injury.

References