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KMID : 0358319920330030505
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Korean Journal of Urology
1992 Volume.33 No. 3 p.505 ~ p.509
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Management of Iatrogenic Ureteral Injury
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Abstract
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We treated 19 patients with ureteral injuries during the recent 7 years. Gynecologic operations were the most common antecedent surgical procedures (89%). The diagnosis of ureteral injuries was made immediately in 3 patients and was delayed 3 to
78
days
in 16 patients. All of the 3 injuries recognized during an operation were repaired at the time of injury. Of the 16 patients with injuries recognized in the postoperative period, 1 patients was managed with percutaneous nephrostomy, 14 patients
received
corrective surgery successfully, but the corrective surgery in remaining patient was failed and ultimately resulted in a nephrectomy because of avascular necrosis of ureter during operation. Therefore, it is better to do corrective surgery
primarily in
patients with ureteral injuries recognized postoperatively in order to decrease percutaneous nephrostomy associated morbidity and hospital admission period.
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