Methods:From January 1997 to February 2006,the injury causes,the treatment time,the methods of surgical procedures and the results of treatment in 58 patients with iatrogenic ureteral injury were analyzed restropectively.
Results:There were 15 cases,0.07‰ of urinary injury for the past l0 years,of which 9 cases were ureter injury,5 cases were bladder injury 9 were ureter injury,and 1 case was urethra injury.
Results There were 8 ureteral injuries (0. 14% ) in 5 541 gynecological laparoscopies with seven in laparoscopically assisted vaginal hysterectomy (LAVH)/ total laparoscopic hysterectomy (TLH) (0.45%) and one in non-LAVH (0.03%).
Results:The rate of severe complication was 1.09%(8/728). Among 8 severe complication cases, 1 was injury of bladder, 2 were injury of ureter, 2 were injury of bowels, 3 was injury of blood vessel.
Methods 1580 cases were employed in the study, including ureteroscopic lithortripsy(1281), ureterolithotomy(96), pyeloplasy for ureteropyelo junction obstruction(42), nephrolithiasis(48), ureterocystostomy(32), ureteral stricture(66), injury of ureter(6), retroperitoneal fibrosis(4), retroperitoneal tumor(5) and post-ureterocystostomy fistula(5).
These risks include significant blood loss, rectal injury, ureteral injury, thromboembolic events, urinary incontinence, impotence, and a perioperative death rate of less than 1%.
Although the diagnosis of a VVF usually can be readily made in an outpatient setting, care must be exercised not to overlook a second fistula or concomitant ureteral injury.
These risks include significant blood loss, rectal injury, ureteral injury, thromboembolic events, urinary incontinence, impotence, and a perioperative death rate of less than 1%.
Ureteral injury due to external violence: 49 cases over 5 years
A delay in diagnosis is the most important contributory factor in morbidity related to ureteral injury.
Four cases (1.18%) of ureter injury were noted (one after TLH and three after STLH).
Incidence, Risk Factors and Morbidity of Unintended Bladder or Ureter Injury during Hysterectomy
The incidence of bladder and ureter injury, respectively, was 0.58% and 0.35% for abdominal hysterectomy, 1.86% and 0% for vaginal hysterectomy, and 5.13% and 1.71% for hysterectomies performed for obstetric indications.
The incidence of operative bladder or ureter injury is relatively low.