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 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%).
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).
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.