Managing Bilateral Ureteric Injury After Hysterectomy
Author Information
Author(s): Shaw Matthew B. K., Tomes Mark, Rix David A., Dorkin Trevor J., Murthy Lakkur N. S., Pickard Robert S.
Primary Institution: Freeman Hospital, Newcastle-Upon-Tyne, UK
Hypothesis
Can ureteric stenting effectively manage bilateral ureteric injuries following radical hysterectomy?
Conclusion
Ureteric stenting is a safe primary management option for most women with bilateral ureteric injury after radical hysterectomy.
Supporting Evidence
- Four patients managed with ureteric stents showed complete healing.
- One patient required open repair due to a persistent ureterovaginal fistula.
- All patients had their serum creatinine levels monitored, with no deterioration in most cases.
Takeaway
If someone has a problem with their ureters after surgery, putting in a small tube can help fix it without needing big surgery right away.
Methodology
A retrospective analysis of a departmental database was performed to identify patients with bilateral ureteric injury following radical hysterectomy.
Limitations
The study is limited by its small sample size and retrospective design.
Participant Demographics
Five women with a median age of 42 years, all with bilateral ureteric injury following radical hysterectomy for cervical cancer.
Digital Object Identifier (DOI)
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