Etiology, characteristics and management of ureteric injury: experience from a nationwide study
BackgroundTo investigate the common etiologies, characteristics, and management of ureteric injury. MethodsA nationwide study was performed in 38 medical centers from Mar 2017 to Mar 2019. The data of patients with ureteric injury were retrospectively collected. ResultsOverall, 294 patients were inc...
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| Veröffentlicht in: | Translational andrology and urology 2022-06, Vol.11 (6), p.794-802 |
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| creator | Li, Xinfei Yang, Kunlin Ding, Guangpu Zou, Xiaofeng Ye, Liefu Wu, Jinfeng Zhang, Peng Fang, Dong Hao, Han Li, Zhe Zhu, Hongjian Li, Xuesong Jiang, Haowen Wang, Kunjie Zhou, Liqun Li, Hong |
| description | BackgroundTo investigate the common etiologies, characteristics, and management of ureteric injury. MethodsA nationwide study was performed in 38 medical centers from Mar 2017 to Mar 2019. The data of patients with ureteric injury were retrospectively collected. ResultsOverall, 294 patients were included in this study. Ten cases (3.4%) were due to abdominal injuries, and 284 cases (96.6%) were due to iatrogenic injuries, including 48.6% from urological procedures, 41.9% from gynecological procedures, 6.3% from general surgery, and 3.2% from other treatments. Most urological injuries (79.7%) were caused by endourological procedures. Injury occurred in the distal ureter in 178 cases (60.5%), the mid-ureter in 31 cases (10.5%), and the proximal ureter in 85 cases (28.9%). Only 51 patients (17.3%) were diagnosed immediately during primary surgery. Immediate ureter reconstruction was performed in 30 patients (58.8%), while delayed urinary diversion was performed in 148 patients (60.9%) in the delayed diagnosis group. The side and the location of the injury were different between the urological and nonurological injury groups (P |
| doi_str_mv | 10.21037/tau-21-998 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9262749</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2688088032</sourcerecordid><originalsourceid>FETCH-LOGICAL-c358t-cd1994b84ce17cf068ab35e45937e834272a3eff713930e7a5f82c460657e2063</originalsourceid><addsrcrecordid>eNpVUdtKAzEUDKLYon3yB_Io6Goue0l8EKTUCxR80eeQZs-2KbtJTXbV_r3RloJw4MxhhjkDg9AFJTeMEl7d9nrIGM2kFEdozBjjWV5KenzAgo_QJMY1IYQyLvKSnqIRLwRlVLIxUrPe-tYvt9fYrHTQpodgY29NxNrVuNNOL6ED12Pf4CHAL22wdeshbO8wfG_SDc4AboLvsMZOJz_3ZWvAsR_q7Tk6aXQbYbLfZ-j9cfY2fc7mr08v04d5ZlKWPjM1lTJfiNwArUxDSqEXvIC8kLwCwXNWMc2haSrKJSdQ6aIRzOQlKYsKGCn5Gbrf-W6GRQe1SYmDbtUm2E6HrfLaqv-Msyu19J9KspJVuUwGl3uD4D8GiL3qbDTQttqBH6JipRAkDWdJerWTmuBjDNAc3lCi_lpRqZWEVGqF_wDwL4A4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2688088032</pqid></control><display><type>article</type><title>Etiology, characteristics and management of ureteric injury: experience from a nationwide study</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Li, Xinfei ; Yang, Kunlin ; Ding, Guangpu ; Zou, Xiaofeng ; Ye, Liefu ; Wu, Jinfeng ; Zhang, Peng ; Fang, Dong ; Hao, Han ; Li, Zhe ; Zhu, Hongjian ; Li, Xuesong ; Jiang, Haowen ; Wang, Kunjie ; Zhou, Liqun ; Li, Hong</creator><creatorcontrib>Li, Xinfei ; Yang, Kunlin ; Ding, Guangpu ; Zou, Xiaofeng ; Ye, Liefu ; Wu, Jinfeng ; Zhang, Peng ; Fang, Dong ; Hao, Han ; Li, Zhe ; Zhu, Hongjian ; Li, Xuesong ; Jiang, Haowen ; Wang, Kunjie ; Zhou, Liqun ; Li, Hong</creatorcontrib><description>BackgroundTo investigate the common etiologies, characteristics, and management of ureteric injury. MethodsA nationwide study was performed in 38 medical centers from Mar 2017 to Mar 2019. The data of patients with ureteric injury were retrospectively collected. ResultsOverall, 294 patients were included in this study. Ten cases (3.4%) were due to abdominal injuries, and 284 cases (96.6%) were due to iatrogenic injuries, including 48.6% from urological procedures, 41.9% from gynecological procedures, 6.3% from general surgery, and 3.2% from other treatments. Most urological injuries (79.7%) were caused by endourological procedures. Injury occurred in the distal ureter in 178 cases (60.5%), the mid-ureter in 31 cases (10.5%), and the proximal ureter in 85 cases (28.9%). Only 51 patients (17.3%) were diagnosed immediately during primary surgery. Immediate ureter reconstruction was performed in 30 patients (58.8%), while delayed urinary diversion was performed in 148 patients (60.9%) in the delayed diagnosis group. The side and the location of the injury were different between the urological and nonurological injury groups (P<0.001). Ureteric injuries were diagnosed timelier in the urological group than in the nonurological group (P=0.037). ConclusionsIatrogenic injury was the most common cause of ureteric injury. The majority of iatrogenic injuries were caused by urological procedures and were primarily due to aggressive endourological techniques. Depending on the condition of the patient, the time of diagnosis, and the location and length of the ureteric injury, different management strategies should be applied.</description><identifier>ISSN: 2223-4683</identifier><identifier>ISSN: 2223-4691</identifier><identifier>EISSN: 2223-4691</identifier><identifier>DOI: 10.21037/tau-21-998</identifier><identifier>PMID: 35812192</identifier><language>eng</language><publisher>AME Publishing Company</publisher><subject>Original</subject><ispartof>Translational andrology and urology, 2022-06, Vol.11 (6), p.794-802</ispartof><rights>2022 Translational Andrology and Urology. All rights reserved. 2022 Translational Andrology and Urology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-cd1994b84ce17cf068ab35e45937e834272a3eff713930e7a5f82c460657e2063</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262749/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262749/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Li, Xinfei</creatorcontrib><creatorcontrib>Yang, Kunlin</creatorcontrib><creatorcontrib>Ding, Guangpu</creatorcontrib><creatorcontrib>Zou, Xiaofeng</creatorcontrib><creatorcontrib>Ye, Liefu</creatorcontrib><creatorcontrib>Wu, Jinfeng</creatorcontrib><creatorcontrib>Zhang, Peng</creatorcontrib><creatorcontrib>Fang, Dong</creatorcontrib><creatorcontrib>Hao, Han</creatorcontrib><creatorcontrib>Li, Zhe</creatorcontrib><creatorcontrib>Zhu, Hongjian</creatorcontrib><creatorcontrib>Li, Xuesong</creatorcontrib><creatorcontrib>Jiang, Haowen</creatorcontrib><creatorcontrib>Wang, Kunjie</creatorcontrib><creatorcontrib>Zhou, Liqun</creatorcontrib><creatorcontrib>Li, Hong</creatorcontrib><title>Etiology, characteristics and management of ureteric injury: experience from a nationwide study</title><title>Translational andrology and urology</title><description>BackgroundTo investigate the common etiologies, characteristics, and management of ureteric injury. MethodsA nationwide study was performed in 38 medical centers from Mar 2017 to Mar 2019. The data of patients with ureteric injury were retrospectively collected. ResultsOverall, 294 patients were included in this study. Ten cases (3.4%) were due to abdominal injuries, and 284 cases (96.6%) were due to iatrogenic injuries, including 48.6% from urological procedures, 41.9% from gynecological procedures, 6.3% from general surgery, and 3.2% from other treatments. Most urological injuries (79.7%) were caused by endourological procedures. Injury occurred in the distal ureter in 178 cases (60.5%), the mid-ureter in 31 cases (10.5%), and the proximal ureter in 85 cases (28.9%). Only 51 patients (17.3%) were diagnosed immediately during primary surgery. Immediate ureter reconstruction was performed in 30 patients (58.8%), while delayed urinary diversion was performed in 148 patients (60.9%) in the delayed diagnosis group. The side and the location of the injury were different between the urological and nonurological injury groups (P<0.001). Ureteric injuries were diagnosed timelier in the urological group than in the nonurological group (P=0.037). ConclusionsIatrogenic injury was the most common cause of ureteric injury. The majority of iatrogenic injuries were caused by urological procedures and were primarily due to aggressive endourological techniques. Depending on the condition of the patient, the time of diagnosis, and the location and length of the ureteric injury, different management strategies should be applied.</description><subject>Original</subject><issn>2223-4683</issn><issn>2223-4691</issn><issn>2223-4691</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpVUdtKAzEUDKLYon3yB_Io6Goue0l8EKTUCxR80eeQZs-2KbtJTXbV_r3RloJw4MxhhjkDg9AFJTeMEl7d9nrIGM2kFEdozBjjWV5KenzAgo_QJMY1IYQyLvKSnqIRLwRlVLIxUrPe-tYvt9fYrHTQpodgY29NxNrVuNNOL6ED12Pf4CHAL22wdeshbO8wfG_SDc4AboLvsMZOJz_3ZWvAsR_q7Tk6aXQbYbLfZ-j9cfY2fc7mr08v04d5ZlKWPjM1lTJfiNwArUxDSqEXvIC8kLwCwXNWMc2haSrKJSdQ6aIRzOQlKYsKGCn5Gbrf-W6GRQe1SYmDbtUm2E6HrfLaqv-Msyu19J9KspJVuUwGl3uD4D8GiL3qbDTQttqBH6JipRAkDWdJerWTmuBjDNAc3lCi_lpRqZWEVGqF_wDwL4A4</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Li, Xinfei</creator><creator>Yang, Kunlin</creator><creator>Ding, Guangpu</creator><creator>Zou, Xiaofeng</creator><creator>Ye, Liefu</creator><creator>Wu, Jinfeng</creator><creator>Zhang, Peng</creator><creator>Fang, Dong</creator><creator>Hao, Han</creator><creator>Li, Zhe</creator><creator>Zhu, Hongjian</creator><creator>Li, Xuesong</creator><creator>Jiang, Haowen</creator><creator>Wang, Kunjie</creator><creator>Zhou, Liqun</creator><creator>Li, Hong</creator><general>AME Publishing Company</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202206</creationdate><title>Etiology, characteristics and management of ureteric injury: experience from a nationwide study</title><author>Li, Xinfei ; Yang, Kunlin ; Ding, Guangpu ; Zou, Xiaofeng ; Ye, Liefu ; Wu, Jinfeng ; Zhang, Peng ; Fang, Dong ; Hao, Han ; Li, Zhe ; Zhu, Hongjian ; Li, Xuesong ; Jiang, Haowen ; Wang, Kunjie ; Zhou, Liqun ; Li, Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-cd1994b84ce17cf068ab35e45937e834272a3eff713930e7a5f82c460657e2063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Original</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Xinfei</creatorcontrib><creatorcontrib>Yang, Kunlin</creatorcontrib><creatorcontrib>Ding, Guangpu</creatorcontrib><creatorcontrib>Zou, Xiaofeng</creatorcontrib><creatorcontrib>Ye, Liefu</creatorcontrib><creatorcontrib>Wu, Jinfeng</creatorcontrib><creatorcontrib>Zhang, Peng</creatorcontrib><creatorcontrib>Fang, Dong</creatorcontrib><creatorcontrib>Hao, Han</creatorcontrib><creatorcontrib>Li, Zhe</creatorcontrib><creatorcontrib>Zhu, Hongjian</creatorcontrib><creatorcontrib>Li, Xuesong</creatorcontrib><creatorcontrib>Jiang, Haowen</creatorcontrib><creatorcontrib>Wang, Kunjie</creatorcontrib><creatorcontrib>Zhou, Liqun</creatorcontrib><creatorcontrib>Li, Hong</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Translational andrology and urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Xinfei</au><au>Yang, Kunlin</au><au>Ding, Guangpu</au><au>Zou, Xiaofeng</au><au>Ye, Liefu</au><au>Wu, Jinfeng</au><au>Zhang, Peng</au><au>Fang, Dong</au><au>Hao, Han</au><au>Li, Zhe</au><au>Zhu, Hongjian</au><au>Li, Xuesong</au><au>Jiang, Haowen</au><au>Wang, Kunjie</au><au>Zhou, Liqun</au><au>Li, Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Etiology, characteristics and management of ureteric injury: experience from a nationwide study</atitle><jtitle>Translational andrology and urology</jtitle><date>2022-06</date><risdate>2022</risdate><volume>11</volume><issue>6</issue><spage>794</spage><epage>802</epage><pages>794-802</pages><issn>2223-4683</issn><issn>2223-4691</issn><eissn>2223-4691</eissn><abstract>BackgroundTo investigate the common etiologies, characteristics, and management of ureteric injury. MethodsA nationwide study was performed in 38 medical centers from Mar 2017 to Mar 2019. The data of patients with ureteric injury were retrospectively collected. ResultsOverall, 294 patients were included in this study. Ten cases (3.4%) were due to abdominal injuries, and 284 cases (96.6%) were due to iatrogenic injuries, including 48.6% from urological procedures, 41.9% from gynecological procedures, 6.3% from general surgery, and 3.2% from other treatments. Most urological injuries (79.7%) were caused by endourological procedures. Injury occurred in the distal ureter in 178 cases (60.5%), the mid-ureter in 31 cases (10.5%), and the proximal ureter in 85 cases (28.9%). Only 51 patients (17.3%) were diagnosed immediately during primary surgery. Immediate ureter reconstruction was performed in 30 patients (58.8%), while delayed urinary diversion was performed in 148 patients (60.9%) in the delayed diagnosis group. The side and the location of the injury were different between the urological and nonurological injury groups (P<0.001). Ureteric injuries were diagnosed timelier in the urological group than in the nonurological group (P=0.037). ConclusionsIatrogenic injury was the most common cause of ureteric injury. The majority of iatrogenic injuries were caused by urological procedures and were primarily due to aggressive endourological techniques. Depending on the condition of the patient, the time of diagnosis, and the location and length of the ureteric injury, different management strategies should be applied.</abstract><pub>AME Publishing Company</pub><pmid>35812192</pmid><doi>10.21037/tau-21-998</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| title | Etiology, characteristics and management of ureteric injury: experience from a nationwide study |
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