MANAGEMENT OF LATE IATROGENIC URETERAL INJURIES AFTER OPEN PELVIC SURGERIES: A 10 –YEAR EXPERIENCE IN GHAEM HOSPITAL, MASHHAD

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

YARMOHAMMADI A.A.; GHANBARIZADEH S.R.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2010 | Volume:13 | Issue:3 Page(s): 15-20

Download Full-Text

Persian Verion

View:

6,151

Download:

Cites:

Information Journal Paper

Title

MANAGEMENT OF LATE IATROGENIC URETERAL INJURIES AFTER OPEN PELVIC SURGERIES: A 10 –YEAR EXPERIENCE IN GHAEM HOSPITAL, MASHHAD

Author(s)

YARMOHAMMADI A.A. | GHANBARIZADEH S.R. | Issue Writer Certificate

Keywords

TRAUMAQ1

URETERQ3

IATROGENICQ3

PELVIC SURGERYQ3

Abstract

Introduction: Despite of growing developments in surgical techniques, URETERal injuries are still a potential complication relating to general surgery, urology and gynecology. This study aims to evaluate the symptoms, etiology, diagnosis and management of non-endourologic IATROGENIC uretral injuries.Methods: This study was retrospectively performed on female patients with of non-endourologic uretal injuries who were referring to Ghaem hospital, Mashhad between 1997 and2007. In this study, the type of their previous operation (which had caused the injury), diagnostic approach, treatment modality and outcomes were evaluated. The total number of 17 patients were studied (including 20 solitary uretral injuries).Results: The age of patients were between 26-67 years old (mean 43.14 yr). Patients’ symptoms included flank pain in 88.23%, true incontinence in 41.17%, fever in 29.41%, anuria in 11.76%, illeus and abdominal distension in 11.76%, prolonged nausea in 5.88% and acute abdomen in 5.88%. Previous surgeries which caused URETERal injuries were gynecologic procedures in 15 patients (88.23%), including hysterectomy in 8 patients (47.05%) and caesarian section in 4 cases (23.52%), Wertheim surgery, resection of ovarian cyst and pelvic endometriosis surgery 1 case in each (5.88%). In 2 cases the injuries were occurred during non-gynecologic surgeries. Modified lich re-implantation was performed in 11 lower injuries of URETER. In one case the anastomosis were performed with Politano-Ledbetter method. Boari flap technique was used for repair of two lower injuries of URETER. Left to right trans-uretro-uretrostomy (TTU) was performed in one case. Also one case with middle uretral injury was treated with uretro-uretrostomy. Auto-transplantation was applied in one case with upper injury.Conclusion: In our cases, the most common cause of IATROGENIC URETERal injury was simple hysterectomy and the most common presented symptoms were flank pain and true incontinence. Most of the patients needed relevant surgeries particularly uretroneocystostomy. In upper injuries the minimally invasive techniques instead of nephrectomy or Auto-transplantation should be considered.

Cites

No record.

References

No record.

Cite

APA: Copy

YARMOHAMMADI, A.A., & GHANBARIZADEH, S.R.. (2010). MANAGEMENT OF LATE IATROGENIC URETERAL INJURIES AFTER OPEN PELVIC SURGERIES: A 10 –YEAR EXPERIENCE IN GHAEM HOSPITAL, MASHHAD. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 13(3), 15-20. SID. https://sid.ir/paper/65006/en

Vancouver: Copy

YARMOHAMMADI A.A., GHANBARIZADEH S.R.. MANAGEMENT OF LATE IATROGENIC URETERAL INJURIES AFTER OPEN PELVIC SURGERIES: A 10 –YEAR EXPERIENCE IN GHAEM HOSPITAL, MASHHAD. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2010;13(3):15-20. Available from: https://sid.ir/paper/65006/en

IEEE: Copy

A.A. YARMOHAMMADI, and S.R. GHANBARIZADEH, “MANAGEMENT OF LATE IATROGENIC URETERAL INJURIES AFTER OPEN PELVIC SURGERIES: A 10 –YEAR EXPERIENCE IN GHAEM HOSPITAL, MASHHAD,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 13, no. 3, pp. 15–20, 2010, [Online]. Available: https://sid.ir/paper/65006/en

Related Journal Papers