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Query: UMLS:C0403608 (ureter)
 9,655 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

From 1991 to 2001, 23 female patients were admitted to the Urologic Operative Unit of the Varese Hospital for urological lesions due to gynecological surgery. The mean age of the patients was 52 years. Out of them, 5 presented a complete division of the ureter after hysterectomy, 3 an inadvertently ligature of the ureter and 2 an angulation. In 12 cases a vesico-vaginal fistula was present, while a patient presented an uretero-vaginal fistula. The 5 patients with complete division of the ureter underwent: end-to-end anastomosis (3 patients); reimplantation (2 patients); psoas hitch (1 patient). In 3 patients with ureter ligation a reimplantation with psoas hitch was performed; in 2 cases with ureter angulation a double J stent was placed. The patient with an uretero-vaginal fistula underwent a reimplantation with psoas hitch while the patients with vesico-vaginal fistula were successfully treated by a combined transperitoneal and transvesical access, excision of the fistula tract and closure of the bladder and vaginal wall with omental interposition.
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PMID:[The gynecologic ureter revisited]. 1205 45

A 42-year-old woman underwent total hysterectomy for multiple myoma uteri. Postoperatively the patient complained of lower abdominal pain and total incontinence. She had also developed left-sided hydronephrosis. Left nephrostomy was constructed and necessary investigations were done. It was diagnosed as a case of left ureteral injury with vesico-vaginal fistula. Repair of vesico-vaginal fistula and reimplantation of the left ureter were performed in a single setting three months after the injury. Subsequently, the nephrostomy was removed. Hydronephrosis was improved with an excellent outcome of fistula repair.
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PMID:[Iatrogenic ureteral injury and the development of vesico-vaginal fistula: a complication of total hysterectomy for multiple myoma uteri]. 1261 9

Ureteral injuries as a complication of obstetric-gynecological operations occur in 0.37% of cases and are accompanied by formation of stricture or ureteral obliteration, development of uretero-vaginal fistula. Roentgenoendoscopic technologies offer a new solution of the problem of restoration of ureteral passability and elimination of urogenital fistulas. Roentgenoendoscopic treatment of ureteral injuries was made in 14 patients: for obliteration of the lower third of the ureter in 5 cases, stricture of the lower third of the ureter in 9 cases, stricture in combination with uretero-vaginal fistula. The length of the injury varied from 0.2 to 1.5 cm (mean--0.6 cm). Two patients have undergone optic buerginage of ureteral stricture followed by balloon dilation, 7 patients--optic endoureterotomy, 5--ureteral recanalization. Three patients with ureterovaginal fistulas had one-stage fistula fulguration. The operations finished with internal stenting for 6-18 weeks. Normal urine passage recovered in 12 of 14 (85.7%) patients. The fistula disappeared in 3 patients. Thus, roentgenoendoscopic treatment of ureteral injuries after obstetric-gynecological surgery produce positive results in most cases and raises quality of the patients' life.
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PMID:[Roentgenoendoscopic therapy of ureteral injuries after obstetric-gynecological surgery]. 1655 Aug 15

A female born with a lumbosacral lipomyelomeningocele, an associated foot-shaped appendage attached to her sacrum, sacral dysgenesis, anal atresia, a recto-vaginal fistula and duplication of the right ureter is reported. We consider this case represents a pygomelus associated with a lipomyelomeningocele and an incomplete expression of Currarino's triad.
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PMID:Spinal dysraphism and the Currarino triad. 1863 45

In the operation of vesical exclusion the urine stream is deviated from the urinary bladder into the colon, thereby forming a cloaca, or on to the surface of the skin, where a fistula discharging urine is created.The operation is indicated in all cases of complete or partial vesical exstrophy. It is successfully employed in treating severe cases of vesico-vaginal fistula, whether the result of obstetric injury or the delayed action of radium.In carcinoma of the urinary bladder, whether primary or secondary, it is practised, frequently preliminary to the operation of total cystectomy.In cases of persistent vesical systole and in intractable cystitis, it has also been occasionally done.The immediate operative mortality following transplantation of the ureters into the pelvic colon is largely dependent on the condition for which the operation is performed. In cases of malignant disease it is high: whereas in conditions that are non-malignant it is a relatively safe procedure.The establishment of a cloaca, particularly in the female, of itself produces no appreciable disability. If the operation has been performed for a congenital or an acquired deformity, and this has been skilfully and successfully carried out and the patient has become stabilized, the expectancy of life should not be appreciably diminished.The case of a patient, upon whom the operation had been performed twenty-nine years previously, is reviewed and particulars of others in which it was performed fourteen years ago, or later, are referred to.In the pre-operative preparation, in addition to the usual thorough clinical investigation, an examination by excretion urography is indicated, especially to determine the possible presence of a third ureter or a single functioning kidney. At this period it is also important, particularly in cases of obstetric injury, to be sure that the rectal sphincter is fully competent and that no haemorrhoids are present.The operative technique was carried out under twilight sleep and spinal anaesthesia. The vital importance of careful post-operative treatment is emphasized. By the immediate post-operative administration of sodium sulphate, by intravenous injection and attention to other details, bilateral ureteral transplantation carried out in one stage could be safely embarked upon without the fear of anuria developing.A detailed record of 60 cases, in which the operation of vesical exclusion has been carried out by the author is given.
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PMID:Vesical Exclusion: (Section of Urology). 1999 81


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