[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.

• Authors: A G Martov, S A Maslov, R V Saliukov, A A Lisenok
• Journal: Urologiia (Moscow, Russia : 1999) (Urologiia) 2006 Jan-Feb Issue 1 Pg. 11-5 ISSN: 1728-2985 [Print] Russia (Federation)
• PMID: 16550815 (Publication Type: Journal Article)

Topics

• Adult
• Female
• Humans
• Middle Aged
• Obstetric Labor Complications (surgery)
• Pregnancy
• Pregnancy Complications (surgery)
• Radiography
• Treatment Outcome
• Ureter (diagnostic imaging, injuries, surgery)
• Ureteral Diseases (diagnostic imaging, etiology, surgery)
• Ureteroscopy