title: [Iatrogenic ureteral injury].
abstract: OBJECTIVE
  To determine the most frequent causes of ureteral injury, and the way to correct severe damage of the ureter.
  
  
  METHODS
  We reviewed the medical records of 25 patients who suffered ureteral injuries during abdominal or pelvic surgery in a five-year period; endoscopic injuries were excluded.
  
  
  RESULTS
  The most common presentation included pain, urinary incontinence and fever. Hysterectomy was the most frequent operation causing ureteral injuries. The diagnosis was made by intravenous urography and ultrasound. Ureteral reimplantation using a Boari's flap, without other complications, was the preferred treatment due to ureteral damage. Right side and distal third of the ureter where the most frequently affected sites.
  
  
  CONCLUSIONS
  In cases of iatrogenic injuries of the distal third of the ureter with severe lesions, ureteral reimplantation with a Boari's flap may be the option.
authors.affiliation: Servicio de Urología, Hospital General de Enfermedades Z 9, Instituto Guatemalteco de Seguridad Social, Guatemala.
authors.forename: Edgar Antonio
authors.initials: EA
authors.lastname: Granados
authors.forename: Carlos Alfredo
authors.initials: CA
authors.lastname: Amenabar
authors.forename: Angel
authors.initials: A
authors.lastname: Valle
authors.forename: Wolfang
authors.initials: W
authors.lastname: Cabrera
authors.forename: Roberto
authors.initials: R
authors.lastname: Portillo
authors.forename: Carlos
authors.initials: C
authors.lastname: Salazar
authors.forename: Fabricio
authors.initials: F
authors.lastname: Taracena
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D014513:Ureter / Q000293:injuries*