How are iatrogenic ureteral injuries detected during gynecologic surgery?

Updated: Nov 12, 2020
  • Author: Sandip P Vasavada, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Iatrogenic ureteral injury during gynecologic surgery may present either intraoperatively or postoperatively. Routine use of intraoperative cystoscopy increases the intraoperative detection rate of urinary tract injuries, but does not appear to have much effect on rates of postoperative injury detection. [4]  Intraoperative consultation with a urologist must be obtained when the injury is recognized immediately; these patients are best treated with primary ureteral repair during the same operation.


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