Double-J stenting: initial management of injured ureters recognized late after gynecological surgery

Abstract

Introduction and hypothesis: To evaluate the efficacy of double-J stenting as an initial procedure to manage ureteral injuries detected late after gynecological surgery.

Methods: Eight patients whom the insertion of double-J stent was done primarily were evaluated. Medical records were investigated retrospectively.

Results: Ureteral injuries were unilateral in seven and in one patient was bilateral (nine ureters in total). In two patients that double-J stentings were failed underwent open surgery. In six patients (seven ureters), double-J stentings were successful either by cystoscopy or ureteroscopy and four ureters were recovered without sequelae. However, in three ureters, stenosis was remained and managed by ureteral dilation with placement of double-J stent. But, one was lost at follow-up schedule.

Conclusions: Ureteral double-J stenting, as first-line treatment, could avoid invasive urological surgery in damaged ureter detected after gynecological surgery. More cases are needed for accurate conclusions.