URETERIC INJURIES FOLLOWING PELVIC OPERATIONS
Abstract
Background: Iatrogenic injuries to the ureter are hazardous complications of pelvic
operations, causing severe morbidity and even mortality.
Objective: To present our 10 years experience in the management of such ureteric
injuries.
Design: A retrospective study carried out between January 1990 and December 1999.
Setting: Two busy health institutions, namely Ife State hospital and Wesley Guild
Hospital, both of the Obafemi Awolowo University (OAU) Teaching Hospitals Complex,
Ile-Ife, Nigeria.
Results: The incidence of iatrogenic injury was 0.4%. Ureteral transection was the
commonest lesion (58%). Ureteroneocystostomy was performed in 70% of the operated
cases. Those diagnosed at the time of injury and treated with end-to-end anastomosis
had the best results.
Conclusion: The proper identification and, when necessary, isolation of the ureter during
operations in which there is a risk is crucial in reducing the incidence of ureteral injuries
operations, causing severe morbidity and even mortality.
Objective: To present our 10 years experience in the management of such ureteric
injuries.
Design: A retrospective study carried out between January 1990 and December 1999.
Setting: Two busy health institutions, namely Ife State hospital and Wesley Guild
Hospital, both of the Obafemi Awolowo University (OAU) Teaching Hospitals Complex,
Ile-Ife, Nigeria.
Results: The incidence of iatrogenic injury was 0.4%. Ureteral transection was the
commonest lesion (58%). Ureteroneocystostomy was performed in 70% of the operated
cases. Those diagnosed at the time of injury and treated with end-to-end anastomosis
had the best results.
Conclusion: The proper identification and, when necessary, isolation of the ureter during
operations in which there is a risk is crucial in reducing the incidence of ureteral injuries
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