How was diagnosed and managed post-traumatic complete ureters disruption in poland from 1995 to 1999?
Article published in Urologia Polska 2002/55/2.

authors

Zygmunt F. Dobrowolski, Jacek Kusionowicz, Piotr Jakubik, Wojciech Habrat, Barbara Dobrowolska, Andrzej Strach: Katedra i Klinika Urologii Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie Kierownik kliniki: prof, dr hab. Zygmunt R Dobrowolski

keywords

ureter, injury, diagnosis, management

summary

We prepared a special questionnaire with: diagnostic methods, and causes of uretral injury in years 1995-1999. We sent this questionnaire to all urological words in Poland. We received replies from 61 urological wards.

We had 452 ureteral injuries among them 31 open injuries (7%), 81 closed injuries (18%), 340 iatrogenic injury. Most of them were caused by gynaecological procedures (72%). Ureteral injuries were often complicated with injury of kidneys, intestines and urinary bladder.

During the treatment we had: 47,1% ureterocystoneostomy, Boari method - 25,05%, end to end junction 20,4%.

The authors suggest: that in doubtful cases urological consultation with catheterisation of the ureters should be undertaken, because - prophylaxis is preferable treatment.

references

1. Asian P, Brooks A, Drummond M, Woo H: Incidence and management of gynaecological-related ureteric injuries. A N Z J of Obs Gyn 1999; 39 (2): 178-181.
2. Marberger M: Transureteral and transuretal stone manipulation. Course of European School of Urology during 31(^ International Galician Urological Meeting - Urological Traumatology 2000; 14-27.
3. Tulikangas PK, Goldberg JM, Gill IS: Laparoscopic repair of ureteral transection. J Am Ass Gyn Lap 2000; 7 (3): 41 5-6.
4. Watterson JD, Mahoney JE, Puller NG, Gaffield J: Iatrogenic ureteric injuries: approaches to etiology and management. Can J Sur 1998; 41 (5):379-382.
5. Tsai CK, Taylor FC, Beaghler MA:Endoscopic ureterourelerostomy: long-term followup using a new technique. J Uroi 2000; 164 (2): 332-335.
6. Abu-Zidan FM, Al-Tawheed A, Ali YM:Urologie injuries in the Gulf War Int Urol Nephrol 1999; 31 (5): 577-583.
7. Brandes SB, McAninch JW: Reconstructive surgery for trauma of the upper urinary tract. Urol Clin North Am 1999; 26 (1): 183-99, x.
8. Palmer LS, Rosenbaum RR, Gcrshbaum MD, Kreutzer ER: Penetrating ureteral trauma at an urban trauma center: 10-year experience. Urology 1999; 54 (1): 34-36.
9. Velmahos GC, Degiannis E: The management of urinary tract injuries after gunshot wounds of (he anterior and posterior abdomen. Injury 1997; 28 (8):535-538.
10. Armenakas NA: Current methods of diagnosis and management of ureteral injuries. W J Urol 1999; 17 (2): 78-83.
11. Kuno K, Menzin A, Kauder HH, Sison C, Gal D: Prophylactic ureteral catheterization in gynecologic surgety. Urology 1998; 52 (6): 1004-1008.
12. Helin-Martikainen HL, Kirkinen P, Heino A: Ultrasonography of the ureter after surgical trauma. Surg Endoscopy 1998;12(9): 1141-1144.

correspondence