title: Bilateral Ureteral Obstruction and Acute Renal Failure in Spite of Prior Ureteral Catheterization in Radical Hysterectomy.
abstract: We present an extremely rare case of acute renal failure following radical hysterectomy although we inserted ureteral catheter bilaterally. A 76-year old female received bilateral ureteral catheterization prior to operation. Just after operation oliguria was admitted and serum creatinine level increased to 3.6 mg/dL. An abdominal computed tomography (CT) revealed bilateral hydronephrosis. From soon after exchange to double J catheter large amount of urine was collected and the level of creatinine normalized 2 days later. The shape of J catheter may be more effective than open-end catheter because it has multiple side hole and can ensure urinary drainage.
authors.affiliation: Department of Urology, Chibaken Saiseikai Narashino Hospital, 1-1-1 Izumi-cho, Narashino City, Chiba 275-8550, Japan.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Fujimura
authors.affiliation: Department of Urology, Chibaken Saiseikai Narashino Hospital, 1-1-1 Izumi-cho, Narashino City, Chiba 275-8550, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Sekita
authors.affiliation: Department of Urology, Graduate School of medicine, Chiba University, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Sakamoto
authors.affiliation: Department of Urology, Chibaken Saiseikai Narashino Hospital, 1-1-1 Izumi-cho, Narashino City, Chiba 275-8550, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Sato
authors.affiliation: Department of Urology, Graduate School of Medicine, Toho University Sakura Medical Center, Japan.
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Department of Urology, Chibaken Saiseikai Narashino Hospital, 1-1-1 Izumi-cho, Narashino City, Chiba 275-8550, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Mikami
keywords: Acute renal failure; Bladder cancer; Radical hysterectomy; Ureteral obstruction