These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Surgical treatment of iatrogenic lesions of the urinary tracts and their complications].
    Author: Komiakov BK, Guliev BG, Rodygin LM.
    Journal: Urologiia; 2007; (3):7-11. PubMed ID: 17722613.
    Abstract:
    The article presents results of surgical treatment of 167 patients with iatrogenic urinary tract lesions made in the course of various surgical interventions. Ureteral trauma was detected in 106 (63.5%), urinary bladder trauma--in 44 (26.3%), urethral trauma--in 5 (3.0%) and trauma of the bladder and ureters--in 12 (7.2%) patients. Endoureterotomy was made in 7 (4.0%) patients with short ureteral stricture, intraoperative correction of ureteral injuries was made in 8 (4.6%) cases. Ureteroplasty according to the technique designed by the authors was conducted in one female patient. A variant of ureterocystoanastomosis (UCA) was created in 67 (38.8%) patients. Reconstruction of the urinary tract with an ileal graft was performed in 16 (9.3%) patients, with the appendix--in 4 (2.3%) patients. Intestinal plastic correction of the ureters and urinary bladder was made in 2 (1.2%) patients. In trauma of the urinary bladder in 3 (1.7%) patients it was sutured, 41 (23.7%) patients underwent transvaginal vesicofistuloraphy. Electrocoagulation of the vesicovaginal fistula and colpocleisis were performed in 8 (4.6%) patients. Plastic surgery of vesicorectal and urethrovaginal fistula was conducted in 3 (1.7%) and 5 (2.9%) patients, respectively. In postoperative period after reconstructive operations complications developed in 17 (10.2%) patients. Conservative treatment of the complications was carried out in 11 (6.6%) patients, reoperations were made in 6 (3.6%) patients: resection of the stricture of appendicocystoanastomosis with reanastomosis (n = 1), repeat UCA (n = 1), revesicofistuloraphy (n = 1) and electrocoagulation of recurrent fistula (n = 3). Rehabilitation was achieved in 98.8% patients. Obstruction of the ureters and urogenital fistulas are prevailing complications (93.4%) of iatrogenic injury of the urinary tract. Operations of choice in such complications are UCA and transvaginal fistuloraphy, respectively.
    [Abstract] [Full Text] [Related] [New Search]