[Late results of surgical treatment of the ureteral lesions after gynecologic and obstetric surgery].
OBJECTIVE
The increase of the radical oncological operations in gynecology and caesarean section in obstetrics constantly produce urinary tracts injuries.


METHODS
The aim of this paper is retrospective study the results surgical treatment of the ureteral lesions after gynecologic and obstetrics operations.


METHODS
65 women in average age 44 years old were undergone to analyze. The follow-up was 1-39 years (mean age 7.6 y.) after ureter injury. Anatomical and functional status of the genitourinary tracts was estimated.


RESULTS
Good result was obtained in 75.3%, moderate in 10.8% and bed in 13.8% of the operated women.


CONCLUSIONS
The best time for the reconstructive surgery are intraoperations period and the time between 5-14 weeks after ureteral lesions. The multiples urinary tract injures and necessity the extravesical urinary diversion give worse results of the late reconstruction urinary tracts. The percutaneous nephrostomy and employment the Psoas Hitch procedure during ureteral reimplantation, significantly improve the late results in reconstructive surgery of ureter. The late results of reconstruction urinary tracts in last lately 20 years are statistically better than obtained 20 years earlier.
Fryczkowski
Mieczysław
M
Katedry i Kliniki Urologii w Zabrzu SlAM w Katowicach.
Huk
Jacek
J
Krauze-Balwińska
Zofia
Z
Paradysz
Andrzej
A
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013513:Obstetric Surgical Procedures / Q000009:adverse effects*; D011044:Poland; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014513:Ureter / Q000293:injuries* / Q000601:surgery*; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery