[Urologic management of ureteral iatrogenic lesions].
BACKGROUND
Iatrogenic trauma of the ureter can occur following pelvic, abdominal or retroperitoneal surgery and during laparoscopy or ureteroscopy.


METHODS
From 1988 to 1998, 30 patients with 34 iatrogenic ureteric injuries were treated in our department.


RESULTS
Patients were referred after a mean of 13 days. Endourological treatment was performed as first-line management in 76% of cases of ureteric trauma, with a 71% immediate success rate. In the case of failure, surgery was performed in 78% of cases, with an 83% success rate. Seven patients required nephrectomy and one patient died.


CONCLUSIONS
First-line endourological treatment gives good results. An early diagnosis remains an essential prerequisite to avoid serious complications.
Karmouni
T
T
Service d'Urologie, CHRU Pontchaillou, rue Henri Le Guilloux, 35033 Rennes.
Patard
J J
JJ
Bensalah
K
K
Manunta
A
A
Guillé
F
F
Lobel
B
B
D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D012189:Retrospective Studies; D014513:Ureter / Q000293:injuries*
Prise en charge urologique des traumatismes iatrogènes de l'uretère.