[Conservative treatment of ureteral iatrogenesis of gynecologic origin].
Five patients with iatrogenic ureteral injuries are described herein. Two patients had a vesicoureteric fistula and the remaining three patients had obstructive uropathy secondary to ligation with resorbable material during hysterectomy for a benign uterine condition, which spontaneously resolved with conservative management. Classically, the approach of this type of lesion was interventional and careful patient selection afforded the possibility of definitive resolution. US, CT and modern endourological technology have facilitated temporary diversion via percutaneous nephrostomy (or surgery, if the foregoing is not possible) to protect renal function during the process of recanalization of the injured ureter. Furthermore, it permits radiological control of the course and functional assessment of the excretory tract.
Gómez Vegas
A
A
Hospital Universitario San Carlos, Universidad Complutense, Madrid, España.
Silmi Moyano
A
A
Blázquez Izquierdo
J
J
Páramo González
P
P
Corral Rosillo
J
J
Delgado Martín
J A
JA
Gómez Ruiz
J J
JJ
Resel Estévez
L
L
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D011859:Radiography; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014624:Vaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
Manejo conservador de la yatrogenia ureteral de origen ginecológico.