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[Roentgenoendoscopic therapy of ureteral injuries after obstetric-gynecological surgery].

Abstract
Ureteral injuries as a complication of obstetric-gynecological operations occur in 0.37% of cases and are accompanied by formation of stricture or ureteral obliteration, development of uretero-vaginal fistula. Roentgenoendoscopic technologies offer a new solution of the problem of restoration of ureteral passability and elimination of urogenital fistulas. Roentgenoendoscopic treatment of ureteral injuries was made in 14 patients: for obliteration of the lower third of the ureter in 5 cases, stricture of the lower third of the ureter in 9 cases, stricture in combination with uretero-vaginal fistula. The length of the injury varied from 0.2 to 1.5 cm (mean--0.6 cm). Two patients have undergone optic buerginage of ureteral stricture followed by balloon dilation, 7 patients--optic endoureterotomy, 5--ureteral recanalization. Three patients with ureterovaginal fistulas had one-stage fistula fulguration. The operations finished with internal stenting for 6-18 weeks. Normal urine passage recovered in 12 of 14 (85.7%) patients. The fistula disappeared in 3 patients. Thus, roentgenoendoscopic treatment of ureteral injuries after obstetric-gynecological surgery produce positive results in most cases and raises quality of the patients' life.
AuthorsA G Martov, S A Maslov, R V Saliukov, A A Lisenok
JournalUrologii︠a︡ (Moscow, Russia : 1999) (Urologiia) 2006 Jan-Feb Issue 1 Pg. 11-5 ISSN: 1728-2985 [Print] Russia (Federation)
PMID16550815 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Female
  • Humans
  • Middle Aged
  • Obstetric Labor Complications (surgery)
  • Pregnancy
  • Pregnancy Complications (surgery)
  • Treatment Outcome
  • Ureter (injuries, radiography, surgery)
  • Ureteral Diseases (etiology, radiography, surgery)
  • Ureteroscopy

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