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13 lut 2024 · Over 80 percent of ureteral injuries are iatrogenic [1-3]. Ureteral injuries can occur during open, laparoscopic, or robotic intra-abdominal, vaginal, and endourologic procedures that are performed by urologists, general and colorectal surgeons, and gynecologists [4-7].
4 lip 2023 · A water-tight, tension-free, mucosa-to-mucosa anastomosis should be created over a ureteral stent using absorbable suture. The choice of repair depends on the site of ureteral injury and timing of identification. If the injury is grade I-III, consider placing a ureteral stent and allowing the ureter to heal over the stent.
This clinical guideline on Urotrama discusses diagnosis and management of genitourinary injuries, including renal, ureteral, bladder, urethral, and genital trauma.
1 sty 2021 · The authors of this guideline reviewed the urologic trauma literature to guide clinicians in the appropriate methods of evaluation and management of genitourinary injuries.
Surgeons should repair ureteral injuries located distal to the iliac vessels with ureteral reimplantation or primary repair over a ureteral stent, when possible
Endo-urological treatment of delayed-diagnosed ureteral injuries by internal stenting, with or without dilatation, is the first step in most cases. It is performed either retrogradely or antegradely via a percutaneous nephrostomy, and it has a variable success rate of 14-19% [ 169-171 ].
23 gru 2013 · Treatment options included surgery or interventional radiology [12–14] and should be individualized in each case. In this case, a minimally invasive procedure can consist in percutaneous urinoma drainage using a nephrostomy catheter, with a double-J stent placement.
