Adult iatrogenic ureteral injury and stricture-incidence and treatment strategies
Gild Philippab(),A. Kluth Luisa,W. Vetterlein Maltea,Engel Olivera,K.H. Chun Felixa,Fisch Margita
a Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany b Division of Urological Surgery and Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
Iatrogenic ureteral injuries and strictures are relatively common complication of pelvic surgery and radiation treatment. Left untreated they are associated with severe short- and long-term complications such as urinoma, septic state, renal failure, and loss of a renal unit. Treatment depends on timing of diagnosis, as well as extent of injury, and ranges from simple endoscopic management to complex surgical reconstruction under usage of pedicled grafts. While recent advances in ureteral tissue engineering are promising the topic is still underreported. Historically a domain of open surgery, laparoscopic and robotic-assisted approaches have proven their feasibility in small case series, and are increasingly being utilized as means of reconstructive surgery. This review aims to give an outline of incidence and treatment of ureteral injuries and strictures in light of the latest advances.
. [J]. Asian Journal of Urology, 2018, 5(2): 101-106.
Gild Philipp,A. Kluth Luis,W. Vetterlein Malte,Engel Oliver,K.H. Chun Felix,Fisch Margit. Adult iatrogenic ureteral injury and stricture-incidence and treatment strategies. Asian Journal of Urology, 2018, 5(2): 101-106.
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