Ureteral injury following irradiation therapy for carcinoma of the cervix.
Ureters tolerate radiation well as manifested by the low incidence of injury. However, ureteral injury can occur with high-dose radiation especially when the majority is delivered by radium. Eight such cases are presented. A retrospective study of 100 asymptomatic women treated with radiation for cervical carcinoma over 5 years previously demonstrated only 4 incidences of ureteral injury if dilatation was used as the indicator. To the contrary, 5 patients had improvement of their pre-treatment intravenous pyelogram following radiation. Emphasis was placed on closer followup of the ureters by intravenous pyelograms after high-dose radiation.
D000328:Adult; D000368:Aged; D004108:Dilatation, Pathologic / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology*; D011878:Radiotherapy / Q000009:adverse effects*; D011882:Radiotherapy, High-Energy / Q000009:adverse effects; D011883:Radium / Q000009:adverse effects / Q000627:therapeutic use; D014513:Ureter / Q000528:radiation effects; D014515:Ureteral Diseases / Q000209:etiology*; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy*
D011883:Radium