title: Radiologic images of retrograde ureterography before and after release of bilateral sacrospinous ligament fixation sutures.
abstract: Ureteral injury or compromise can occur after pelvic floor reconstruction for prolapse. Therefore, it is routine to perform intraoperative urethrocystoscopy at end of the operative case to confirm ureteral patency. We show retrograde ureterogram before and after release of fixation sutures from bilateral sacrospinous ligament fixation performed for stage III vaginal prolapse. The fluoroscopic images presented are intended to help pelvic surgeons visualize what could occur during sacrospinous ligament fixation. Furthermore, this case report illustrates how angulation of the distal ureter, without complete obstruction, may result in renal compromise.
authors.affiliation: Division of Urogynecology and Pelvic Reconstruction, Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of Maryland, Baltimore, MD 21201, USA.
authors.forename: Toni
authors.initials: T
authors.lastname: Sylvester
authors.forename: Virginia
authors.initials: V
authors.lastname: Bond
authors.forename: Harry W
authors.initials: HW
authors.lastname: Johnson
authors.forename: Toby C
authors.initials: TC
authors.lastname: Chai
mesh_terms: D000368:Aged; D003404:Creatinine / Q000097:blood; D003558:Cystoscopy; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology; D008022:Ligaments / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D013537:Sutures / Q000009:adverse effects*; D014513:Ureter / Q000000981:diagnostic imaging*; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery; D014567:Urography
chemical_list: D003404:Creatinine