Abstract
Causes and results of treatment of ureteral injuries after open procedure or laparoscopy was evaluated in 40 patients with 42 iatrogenic ureteral injuries treated from 2002 to 2008, 15 of them were recognised immediately and 27 were detected 1 - 90 days (average 19 days) after initial procedure. Intraoperative discovered injuries were treated with ureteroureterostomy or ureteroneocystostomy.
Late recognised ureteral injuries were primarily treated using stent placement, percutaneous nephrostomy or both with the success rate 61 %. The immediately diagnosed and treated injuries have very good prognosis.
The managment of late recognised injuries in first intention is based on minimally invasive method. Almost two-third of these injuries recovered without open procedure.