If infection is present, graft removal appears the standard of care and was successful in the present case. [ncbi.nlm.nih.gov]

• Fever

  When unrecognized, patients experience fever, abdominal pain, signs of peritonitis, and leukocytosis usually 48 to 72 hours after the surgical procedure. [ncbi.nlm.nih.gov]

• Surgical Procedure

  RESULTS: Nineteen ureteral injuries were incurred during the performance of 4665 gynecologic surgical procedures, an incidence of 0.4%. Patients ranged in age from 23 to 70 years. [ncbi.nlm.nih.gov]

  Title Injury to the ureter during gynecologic surgical procedures. [medlit.info]

• Pneumonia

  Complications unrelated to urinary repair included pneumonia in 2 cases, neurological sequelae in 2 cases and a wound abscess in one patient. [scielo.br]

• Abdominal Distension

  Postoperative Diagnosis of ureteric Injury Undetected iatrogenic ureteric injuries should be suspected in postoperative period if patient complains of flank pain, has fever with chills, abdominal distension with ileus and complains of watery discharge [laparoscopyhospital.com]

• Withdrawn

  The Acucise device is withdrawn, retrograde pyelography is performed to confirm extravasation, and a wide-caliber ureteral stent is placed in the fashion described above. [emedicine.medscape.com]

• Stroke

  As a result of injuries caused by the stroke, she was admitted to a long-term care facility with little hope for significant recovery. [theexpertinstitute.com]

  To distinguish the ureter from other vascular structures, the ureter will typically elicit peristalsis on gentle stroking. [ajog.org]

• Flank Pain

  On postoperative day 14 she developed left flank pain. Computed tomography scan of the abdomen and pelvis demonstrated a left perinephric fluid collection. [ncbi.nlm.nih.gov]

  Classic clinical symptoms and signs may also be absent but patients may present with abdominal/flank pain, renal failure and/or urine leaking from the vagina 5. The diagnosis is often based on a high index of clinical suspicion. [radiopaedia.org]

• Renal Injury

  Flank ecchymosis and broken ribs are signs suggestive of renal injury. [auanet.org]

  Features include 5 : intra-abdominal fluid collections without other cause shown contrast extravasation from renal hilum/PUJ (usually medially) without associated renal injury Treatment and prognosis Immediate diagnosis and appropriate corrective surgical [radiopaedia.org]

  J Am Coll Surg 186:641–644 CrossRef CAS PubMed Google Scholar Santucci RA, Wessells H, Bartsch GG et al (2004) Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. [link.springer.com]

  The anatomic proximity of the ureters to the genital tract places them at risk of injury during pelvic surgery, which could damage to renal function. [ogpnews.com]

• Ureteral Disorder

  Ureteral Disorders Your kidneys make urine by filtering wastes and extra water from your blood. The urine travels from the kidneys to the bladder in two thin tubes called ureters. The ureters are about 8 to 10 inches long. [icdlist.com]

Outline the workup of a patient with ureteral injury Summarize the treatment options for ureteral injury. [ncbi.nlm.nih.gov]

Sections Ureteral Injury During Gynecologic Surgery Overview Practice Essentials History of the Procedure Problem Epidemiology Etiology Pathophysiology Presentation Indications Relevant Anatomy Contraindications Show All Workup Laboratory Studies Imaging [emedicine.medscape.com]

Figure 20b Conclusion CT urography has become widely accepted as the new first-line imaging modality in the workup of hematuria in adult patients and in the initial staging and surveillance of UCC. [pubs.rsna.org]

The first step included minimally invasive recovery of the urine flow and treatment of infection. [ncbi.nlm.nih.gov]

The present study investigated several aspects, including surgical indications, uterine size, pelvic adhesion, operative procedures, symptoms, diagnostic time and methods, injury site and type, subsequent treatment, and prognosis. [ncbi.nlm.nih.gov]

Prognosis depends on the stage of the tumor (see staging of TTCs of the ureter ) and histological grade (see grading of TCCs ) has little influence 3. Metastases are most frequently to liver, bone, and lung 4. Promoted articles (advertising) [radiopaedia.org]

[…] ureter, or similar injury Removing the entire kidney ( nephrectomy ), draining the space around the kidney, or stopping the bleeding via arterial catheterization (angioembolization) Placing a stent Removing blockage or relieving obstruction Outlook (Prognosis [pennstatehershey.adam.com]

The postulated etiology includes chemical irritation of the ureter and subsequent stenosis caused either by direct injection into the ureter or by spread of the agent from the injection site. [scholars.northwestern.edu]

OBJECTIVE: To describe clinical presentation, etiology, and treatment of ureteral injuries recognized late in women who had gynecologic laparoscopies. [ncbi.nlm.nih.gov]

There is a wide-range of injury: injury to the mucosa of the ureter post lithotripsy perforation and false passage partial or complete ureteric transection complete ureteric avulsion loss of ureteric segment ligation dissection Etiology iatrogenic rate [radiopaedia.org]

Abstract Permissions Open Case Report Robotic-assisted reconstruction of a ureteral herniation into the psoas major fascia: A unique obstructive etiology and a surgical approach to management Wiggins, Adam; Moynihan, Matthew; Canes, David Urology Annals [journals.lww.com]

The pathophysiology, epidemiology, diagnosis, and treatment of blunt ureteral injury are also discussed. [ncbi.nlm.nih.gov]

Treatment [ edit ] Treatment methods include surgery, [1] [7] chemotherapy, [1] radiation therapy [1] and medication. [1] Epidemiology [ edit ] Between 1988 and 2001 in the United States, cancer surveillance reports to SEER included 1,333 cases of ureteral [en.wikipedia.org]

Epidemiology of transitional cell carcinomas of the renal pelvis are similar to those of the rest of the urinary tract: please refer to TCCs of urinary tract for further details. [radiopaedia.org]

Epidemiology Frequency The frequency of ureteral injury following gynecologic surgery historically has been reported at approximately 1%. [emedicine.medscape.com]

The pathophysiology, epidemiology, diagnosis, and treatment of blunt ureteral injury are also discussed. [ncbi.nlm.nih.gov]

The pathophysiology of ureteral injury depends on many factors, including the type of injury and when the injury is identified. [emedicine.medscape.com]

The advantage of laparoscopically radical hysterectomy is the prevention of the identification and dissecting of the ureter from a vaginal approach, the main problem in the Schauta technique. [ncbi.nlm.nih.gov]

The benefit of preventive ureteral catheterization in complex laparoscopic gynaecologic procedures remains controversial, but most authors support preventive catheterization [ 23, 24 ]. [alliedacademies.org]

The increasing repertoire of gynecologic surgical procedures emphasizes the importance of understanding anatomy to prevent and manage lower urinary tract misadventures. [journals.lww.com]