[Iatrogenic ureteral injury in adults--diagnosis and treatment]

Abstract

Ureteral injuries are rare and a special group are iatrogenic ureteral injury. Such a situation may occur during open surgery, laparoscopic surgery and endoscopy. The mechanism typically includes cutting or ligation of the ureter or combination of both what may lead to urinary retention and tissue infiltration by urine. The priority is to prevent the incidence of injury. Even 75% of ureteral damage can be not identified during the surgery, when the injury occurred. The basis of treatment is to drain the urine, the urine leakage and ureter reconstruction.