[Obstructive uropathy as a complication of aortic disease and reconstructive peripheral vascular surgery: report of 4 cases and review of the literature].
OBJECTIVE
Ureteral injury can be a complication of peripheral vascular reconstructive surgery or aneurysm of the abdominal aorta. The present study analyses 4 cases of obstructive uropathy; 3 following peripheral vascular reconstructive surgery and 1 from aneurysm of the abdominal aorta.


METHODS
All 4 patients were prospectively evaluated.


RESULTS
Both renal units were compromised in all 4 cases. The initial management consisted of internal urinary diversion with a double J catheter. Ureterolysis was performed in one case of unresolved uropathy secondary to prior bypass surgery. One case with uropathy due to infection of the vascular prosthetic graft required graft replacement.


CONCLUSIONS
The risk of ureteral injury is likely to be seen more often due to the increasing number of operations on the vascular tree and enhanced survival of patients with aortic aneurysm. Prevention of the foregoing complication includes doing US and/or IVP early postoperatively and in the first 4 months following surgery. Patient management is initially conservative.
Begara Morillas
F J
FJ
Cátedra de Urología, Hospital Universitario San Carlos, Madrid, España.
Rapariz González
M A
MA
Paez Borda
A
A
Moreno Sierra
J
J
Luengo Alpuente
S
S
Corral Rosillo
J
J
Resel Estévez
L
L
D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D014517:Ureteral Obstruction / Q000209:etiology*; D014656:Vascular Surgical Procedures / Q000009:adverse effects
Uropatía obstructiva como complicación de la patología aórtica y de la cirugía reconstructiva vascular periférica: presentación de 4 casos y revisión de la literatura.