Iatrogenic injuries to the ureter represent serious complications arising from surgical operations on the pelvic organs and in the abdominal cavity. These complications can significantly impair the quality of life for patients, making timely detection and effective treatment essential.
As part of the study, medical data from 141 patients with iatrogenic ureteral injuries who were treated at the National Hospital from 2010 to 2024 were analyzed, using both retrospective and prospective methods.
The diagnosis was based on clinical symptoms and various instrumental methods, such as ultrasound (US), computed tomography (CT), and retrograde ureterography. The statistical processing of data was carried out using SPSS 24.0.
Key findings of the study:
- 87.2% of the subjects were women, while 12.8% were men.
- The majority of injuries (72.3%) were recorded after gynecological surgeries, with 92.2% of cases relating to the distal segment of the ureter.
- In 92.9% of cases, the diagnosis was made only after the surgery, while in 7.1%, the injuries were identified during the surgical intervention.
- In most cases (68.1%), ureterocystoneoanastomosis was performed, while 8.5% of patients required nephrectomies.
The anatomical location of the ureter and its proximity to the pelvic vessels make it vulnerable to injuries. Late diagnosis can lead to serious complications, while the use of minimally invasive methods and reconstructive surgeries can significantly improve treatment outcomes.
"Early detection and a comprehensive approach to the treatment of iatrogenic ureteral injuries can reduce the risk of complications and improve the quality of life for patients. It is important to implement measures for the prevention of injuries and the improvement of diagnostic methods," the conclusion of the study emphasizes.
Iatrogenic Ureteral Injuries
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