Ureteral Injury
- PMID: 29939594
- Bookshelf ID: NBK507817
Ureteral Injury
Excerpt
Overall, a ureteral injury is rare. The most common cause is iatrogenic trauma during open surgery, laparoscopic, or endoscopic procedures. Penetrating trauma accounts for most non-iatrogenic ureteral injuries. Ureteral injuries are often subtle, and clinicians must have a high index of suspicion for them. An unrecognized or mismanaged ureteral injury can lead to significant complications, including urinoma, abscess, ureteral stricture, and potential loss of ipsilateral kidney or even death.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Ledderose S, Beck V, Chaloupka M, Kretschmer A, Strittmatter F, Tritschler S. [Management of ureteral injuries]. Urologe A. 2019 Feb;58(2):197-206. - PubMed
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- Cadish LA, Ridgeway BM, Shepherd JP. Cystoscopy at the time of benign hysterectomy: a decision analysis. Am J Obstet Gynecol. 2019 Apr;220(4):369.e1-369.e7. - PubMed
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