Obstetric and gynaecological ureteric injuries: treatment and results

Abstract

When the patients are correctly selected, endourological treatment plays an equally important role in the treatment of gynaecologically-related ureteric injuries when compared to open surgery. Special attention should be paid to the treatment of lesions caused by radical hysterectomy alone or associated with radiotherapy, as these may lead to poor results.

Bilateral accessory renal arteries associated with some anomalies of the ovarian arteries: A case study

“…The accessory renal arteries are of significance especially since the advent of endoscopic surgery (Giberti et al, 1996). In surgery of this nature, the relationship of the ureters to the accessory arteries is of utmost importance since the artery is in danger of being divided.…”

The efficacy of transureteroureterostomy for ureteral reconstruction during surgery for a non‐urologic pelvic malignancy

“…The majority of ureteral defects arise from iatrogenic injuries during pelvic surgery [10,11]. To excise tumors with a clear resection margin, ureteral resection is frequently required during surgery on nonurologic pelvic malignancies, such as gynecologic and colorectal cancers.…”

Ureteric trauma in gynecologic surgery

“…Supplementary endourologic procedures include balloon dilation and/or cold knife and endoureterotomy, the latter achieving a success rate of 62% in Meretyk' s study [24]. Gigerti and colleagues [20] found an 88% cure rate for patients managed endourologicaUy, comparing well with 87% for delayed open repair and 90% for immediate intraoperative repair. Hospital stay after open surgery in one study ranged from 16 to 35 days (mean 18 days), compared to 3-5 days for patients treated with percutaneous nephrostomy alone [21].…”

“…Retrograde ureteric stenting can be used as the first approach to controlling the injury [20], although it may be successful in as few as one case in 20 [11]. If unsuccessful a percutaneous nephrostomy may be inserted.…”