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Incidence and Management of Gynaecological‐Related Ureteric Injuries
Author(s) -
Asian Peter,
Brooks Andrew,
Drummond Malcolm,
Woo Henry
Publication year - 1999
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1999.tb03366.x
Subject(s) - incidence (geometry) , medicine , general surgery , obstetrics , urology , optics , physics
Summary: We report a 5‐year review of all ureteric injuries at a major Sydney teaching hospital as a result of gynecological procedures. A retrospective analysis was made of all hospital medical records and consultant follow‐up notes from January, 1990 to May, 1995. Injuries were recorded in 22 patients with a mean age 52 years (range 31–88). Of these, 17 occurred at our institution, while 5 were referred from peripheral hospitals. Two injuries were bilateral, and 6 were discovered intraoperatively. Patients were managed acutely where possible. Treatment options included cystoscopy and retrograde stenting, deligation, neoureterocystostomy, transureteroureterostomy or nephrectomy. Follow‐up imaging was available in 16 patients, of those, 15 were normal, and 1 showed bilateral obstruction secondary to radiotherapy. The overall risk of ureteric injury for all methods of hysterectomy was 0.44% (0.24% for total abdominal hysterectomy).