Iatrogenic ureteral injury: Aggressive or conservative treatment

      This paper is only available as a PDF. To read, Please Download here.


      Many different approaches are advocated for management of latrogenic (operative) ureteric injury. We herein report our experience with 28 ureteral injuries in 26 patients. In six patients, seven injuries were recognized at the time of the initial operation; four end-to-end anastomoses and three creteroneocystostomies were successfully performed. In 20 patients the diagnosis of injury was delayed. In 14 of them a ureteroneocystostomy with or without Boari bladder flap was performed. The other six patients were first treated by percutaneous nephrostomy, which was successful in only two cases. The other four needed subsequent operative management. The main point that has emerged from our review is that early definitive operative repair is both feasible and preferable.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Streuli MK
        Iatrogene Ureterverletzungen und peroperative Diagnostik.
        Helv Chir Acta. 1982; 49: 711-718
        • Grace PA
        • Murphy DM
        Surgical injury to the ureter: a report on 21 injuries in 19 patients.
        Br Med J. 1983; 76: 418
        • Hoch WH
        • Kursh ED
        Early aggressive management of intraoperative ureteral injuries.
        J Urol. 1975; 114: 530
        • Kontturi M
        • Kauppila A
        Ureteric complications following treatment of gynaecological cencer.
        Ann Chir Gynaecol. 1982; 71: 232
        • Benoit G
        • Boccon-Girod L
        Traumatismes iatrogènes de l'uretère: analyse de 47 cas.
        Chirurgie. 1983; 109: 160
        • Fry DE
        • Milholen L
        Iatrogenic ureteral injury: options in management.
        Arch Surg. 1983; 118: 454