Iatrogenic injuries of the ureter represent serious complications that arise as a result of surgical procedures performed in the abdominal cavity and pelvic area. These injuries significantly affect the quality of life of patients, highlighting the need for prompt diagnosis and effective treatment methods.
As part of the study, medical records of 141 patients who received treatment from 2010 to 2024 at the National Hospital and had iatrogenic injuries of the ureter were analyzed.
Diagnosis was based on clinical symptoms and various instrumental methods, including ultrasound (US), computed tomography (CT), and retrograde ureterography. The SPSS 24.0 program was used for statistical data processing.
The main findings of the study:
- Women accounted for 87.2% of the total number of patients, while men made up 12.8%.
- The majority of injuries were recorded after gynecological surgeries (72.3%), with 92.2% of cases related to the distal segment of the ureter.
- In 92.9% of cases, diagnosis was delayed until the postoperative period, while only 7.1% of injuries were detected during the surgery.
- The most common treatment method was ureterocystoneoanastomosis (68.1%), with 8.5% of patients referred for nephrectomy.
The anatomical location of the ureter and its proximity to the pelvic vessels make it particularly susceptible to injuries. Delayed diagnosis can lead to complications, while the use of minimally invasive methods and reconstructive surgeries can significantly improve treatment outcomes.
"Early detection and a comprehensive approach to the treatment of iatrogenic injuries of the ureter can reduce the number of complications and improve the quality of life of patients. Important measures are in place to prevent injuries and enhance diagnostic methods," conclude the authors of the study.
Iatrogenic Injuries of the Ureter
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