{"paper_id":"4adc8cba-0cf7-4e84-b1bf-2b1415c7ddd1","body_text":"Diagnosis and management of iatrogenic ureteral injury in total laparoscopic hysterectomy\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20213886Keywords:\nUreteral injury, Total laparoscopic hysterectomy, Cystoscopy, Ureteroureterostomy, Urinary sonographyAbstract\nUreteral injury is common in gynecological surgeries due to the proximity to organs. The risk of ureteral injury is higher in laparoscopic hysterectomy operations compared to abdominal or vaginal hysterectomies. Obesity, endometriosis, pelvic adhesions, history of previous surgery, enlarged uterus, and intraoperative hemorrhage are some of the risk factors identified for ureteral injury. Intraoperative cystoscopy and postoperative urinary ultrasonography can be used in the diagnosis of early ureteral injury. Management of ureteral injury differs according to the extent, type, and localization of the injury. In evaluating the ureteral injury, early diagnosis and early repair in appropriate patients are essential in morbidity and medicolegal.\nMetrics\nReferences\nMäkinen J, Johansson J, Tomás C, Heikkinen AM, Fraser J, Tomás E, et al. Morbidity of 10.110 hysterectomies by type of approach. Hum Reprod. 2001;16(7):1473-8.\nVakili B, Chesson RR, Kyle BL, Gist R, Zheng YT, Nolan TE. The incidence of urinary tract injury during hysterectomy: A prospective analysis based on universal cystoscopy. Am J Obstet Gynecol. 2005;192(5 SPEC. ISS.):1599-604.\nAdelman MR, Bardsley TR, Sharp HT. Urinary Tract Injuries in Laparoscopic Hysterectomy: A Systematic Review. J Minim Invasive Gynecol. 2014;21(4):558-66.\nGilmour DT, Das S, Flowerdew G. Rates of rates of urinary tract injury from gynecologic surgery and the role of intraoperative cystoscopyf. Obstet Gynecol. 2006;107(6):1366-72.\nOstrzenski A, Radolinski B, Ostrzenska KM. A Review of Laparoscopic Ureteral Injury in Pelvic Surgery. Obstet Gynecol Surv. 2003;58(12):794-99.\nTeeluckdharry B, Gilmour D, Flowerdew G. Urinary tract injury at benign gynecologic surgery and the role of cystoscopy. Obstet Gynecol. 2015;126(6):1161-9.\nJacob GP, Vilos GA, Al Turki F, Bhangav G, Abu-Rafea B, Vilos AG, et al. Ureteric injury during gynaecological surgery - lessons from 20 cases in Canada. Facts, views Vis Ob Gyn. 2020;12(1):31-42.\nBaggish MS, Clark J, Firestein S. Thermal ureteral injury secondary to use of the ligasure device during subtotal abdominal hysterectomy. J Gynecol Surg 2005;21:(2):21:81.\nSutton PA, Awad S, Perkins AC, Lobo DN. Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic ScalpelTM and the LigasureTM. Br J Surg. 2010;97(3):428-33.\nManoucheri E, Cohen SL, Sandberg EM, Kibel AS, Einarsson J. Ureteral injury in laparoscopic gynecologic surgery. Rev Obstet Gynecol. 2012;5(2):106-11.\nKilinc E, Akpak YK. A rare case of unrecognized and uncommon bladder perforation after transobturator tape procedure. Case Rep Med. 2015;2015:3-5.\nChi AM, Curran DS, Morgan DM, Fenner DE, Swenson CW. Universal cystoscopy after benign hysterectomy: examining the effects of an institutional policy. Obstet Gynecol. 2017;127(2):369-75.\nVanderpuye V. Renal sonography in the diagnosis of renal obstruction or hydronephrosis in patients with cervical cancer. J Clin Ultrasound. 2002;30(7):424-7.\nSuprasert P, Euathrongchit J, Suriyachai P, Srisomboon J. Hydronephrosis after radical hysterectomy: A prospective study. Asian Pacific J Cancer Prev. 2009;10(3):375-8.\nKaradeniz T, Topsakal M, Eksioglu A, Ariman A, Basak D. Renal hemodynamics in patients with obstructive uropathy evaluated by color Doppler sonography. Eur Urol. 1996;29(3):298-301.\nKitrey ND, Djakovic N, Gonsalves M, Kuehhas FE,\nLumen N, Serafetinidis E, et al. Urological trauma EAU Guidelines on. J Summert Guidel Assoc P-J. Published online 2016.\nMorey AF, Brandes S, Dugi DD. Urotrauma: AUA guideline. J Urol. 2014;192(2):327-35..\nSmith AP, Bazinet A, Liberman D. Iatrogenic ureteral injury after gynecological surgery. Can Urol Assoc J. 2019;113(6):S51-5.\nWitters S, Cornelissen M, Vereecken R. Iatrogenic ureteral injury: Aggressive or conservative treatment. Obstet Gynecol Surv. 1987;42(4):264-5.\nElliott SP, McAninch JW. Ureteral injuries: External and iatrogenic. Urol Clin North Am. 2006;33(1):55-66.\nMcQuitty DA, Boone TB, Preminger GM. Lower Pole Calicostomy for the Management of Iatrogenic Ureteropelvic Junction Obstruction. J Urol. 1995;153(1):142-5.\nLee Z, Keehn AY, Sterling ME, Metro MJ, Eun DD. A Review of Buccal Mucosa Graft Ureteroplasty. Curr Urol Rep. 2018;19(4):1-6.","source_license":"CC0","license_restricted":false}