Clinical Observation on Surgical Ureteral Injuries

Youn, Key Hun; Lim, Soo Kil

Abstract

The author experienced 30 cases(22 patiente) of surgical ureteral injuries during the 9 years period from August 1968 to July 1977 at the Department of Urology, St. Mary's Hospital. Catholic Medical College. The results were as follows : 1. The main etiology of surgical ureteral injury were gynecologic pelvic surgery(10 patients). ureteral tailoring and re-implantation(3 patients), ureterolithotomy(2 patients) and Ureteroileocystoplasty(2 patients). 2. The main symptoms of ureteral injuries revealed urine leakage(13 patients), flank pain(6 patients), fever(3 patients), nausea & vomiting(3 patients) and abdominal pain(3 patients). 3. Ureteral injury was diagnosed by intravenous pyelography, retrograde ureteral catheterization and indigocarmine test. 4. Reconstruction of the ureteral injury were performed by the method of ureteroneocystostomy (7 cases), Boari operation(4 cases), ureteroureterostomy(2 cases), ureterolysis and ureteral catheter drainage(2 cases) and simple suture(3 cases). The results, were best in ureteroneocystostomy and Boari operation. 5. Ureteral stent catheter were placed in 12 patients and the average duration of catheterization was 11 days.