AUTOTRANSPLANTATION FOR IATROGENIC URETERAL INJURY FOLLOWING GYNECOLOGICAL SURGERY
A 48-year-old woman underwent total hysterectomy and oophorectomy for uterine fibroids and bilateral ovarian cysts. Postoperatively, her renal function worsened, and the histological specimen contained ureteral tissue. She was referred to our department for left ureteral injury repair. An anterograd...
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| Veröffentlicht in: | Nippon Hinyokika Gakkai zasshi 2022/10/20, Vol.113(4), pp.147-151 |
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| container_title | Nippon Hinyokika Gakkai zasshi |
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| creator | Kinoshita, Akane Yamada, Daisuke Honda, Kazuki Danno, Tetsuya Tokunaga, Mayuko Miyakawa, Jimpei Taguchi, Satoru Akiyama, Yoshiyuki Yamada, Yuta Sato, Yusuke Kume, Haruki |
| description | A 48-year-old woman underwent total hysterectomy and oophorectomy for uterine fibroids and bilateral ovarian cysts. Postoperatively, her renal function worsened, and the histological specimen contained ureteral tissue. She was referred to our department for left ureteral injury repair. An anterograde pyelogram revealed a ureteral defect, 9.5 cm in size. We considered ureteral bladder anastomosis to be complicated. She underwent kidney autotransplantation into her right iliac fossa to repair the ureteral injury. Six months after the operation, renal function was preserved, no hydronephrosis was observed by ultrasonography, and renal blood flow was good. Based on the literature on the difficulty of reconstructing ureteral injury, we developed an algorithm based on the length of ureteral injury. |
| doi_str_mv | 10.5980/jpnjurol.113.147 |
| format | Article |
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Postoperatively, her renal function worsened, and the histological specimen contained ureteral tissue. She was referred to our department for left ureteral injury repair. An anterograde pyelogram revealed a ureteral defect, 9.5 cm in size. We considered ureteral bladder anastomosis to be complicated. She underwent kidney autotransplantation into her right iliac fossa to repair the ureteral injury. Six months after the operation, renal function was preserved, no hydronephrosis was observed by ultrasonography, and renal blood flow was good. 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| ispartof | The Japanese Journal of Urology, 2022/10/20, Vol.113(4), pp.147-151 |
| issn | 0021-5287 1884-7110 |
| language | eng ; jpn |
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| source | J-STAGE Free; EZB-FREE-00999 freely available EZB journals |
| subjects | Autotransplantation Iatrogenic Ureteral injury |
| title | AUTOTRANSPLANTATION FOR IATROGENIC URETERAL INJURY FOLLOWING GYNECOLOGICAL SURGERY |
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