[Roentgenoendoscopic therapy of ureteral injuries after obstetric-gynecological surgery].
Ureteral injuries as a complication of obstetric-gynecological operations occur in 0.37% of cases and are accompanied by formation of stricture or ureteral obliteration, development of uretero-vaginal fistula. Roentgenoendoscopic technologies offer a new solution of the problem of restoration of ureteral passability and elimination of urogenital fistulas. Roentgenoendoscopic treatment of ureteral injuries was made in 14 patients: for obliteration of the lower third of the ureter in 5 cases, stricture of the lower third of the ureter in 9 cases, stricture in combination with uretero-vaginal fistula. The length of the injury varied from 0.2 to 1.5 cm (mean--0.6 cm). Two patients have undergone optic buerginage of ureteral stricture followed by balloon dilation, 7 patients--optic endoureterotomy, 5--ureteral recanalization. Three patients with ureterovaginal fistulas had one-stage fistula fulguration. The operations finished with internal stenting for 6-18 weeks. Normal urine passage recovered in 12 of 14 (85.7%) patients. The fistula disappeared in 3 patients. Thus, roentgenoendoscopic treatment of ureteral injuries after obstetric-gynecological surgery produce positive results in most cases and raises quality of the patients' life.
Martov
A G
AG
Maslov
S A
SA
Saliukov
R V
RV
Lisenok
A A
AA
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D011859:Radiography; D016896:Treatment Outcome; D014513:Ureter / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D018666:Ureteroscopy