[Management of ureteral injuries].
Management von Harnleiterverletzungen.
Computed tomography
Injuries
Retrograde ureteropyelography
Surgical repair
Urogenital system
Journal
Der Urologe. Ausg. A
ISSN: 1433-0563
Titre abrégé: Urologe A
Pays: Germany
ID NLM: 1304110
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
pubmed:
9
2
2019
medline:
8
10
2019
entrez:
9
2
2019
Statut:
ppublish
Résumé
Ureteral injuries account for less than 3% of genitourinary injuries. Most of them are caused iatrogenically during abdominal surgery. The symptoms are often non-specific and do not aid in diagnosis. The later the injury is detected, the more often complications occur. Therefore, in such situations it is important to consider the possibility of ureteral injury and initiate further diagnostic steps as soon as possible. A variety of diagnostic tests are available. In addition to the direct inspection of the ureters and retrograde ureteropyelography, computed tomography (CT) urography is routinely used. Based on the time of diagnosis as well as the extent and the localization of the injury, the further procedure can be determined. For minor injuries, the insertion of a ureteral splint is usually the treatment of choice. In the case of higher grade damage, operative reconstruction by one of several possible surgical procedures is indicated.
Identifiants
pubmed: 30734059
doi: 10.1007/s00120-019-0864-y
pii: 10.1007/s00120-019-0864-y
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
197-206Références
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