What is the role of resection and ureteroureterostomy in the treatment of iatrogenic ureteral injury?

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

If extensive ischemia or necrosis is the result of an injury, the ureter injury is best treated by excising the injured segment of the ureter and reestablishing continuity with the urinary system. If the ureteral injury occurred above the pelvic brim, the simplest reconstruction is a ureteroureterostomy, a procedure that is indicated for injuries to short segments of the ureter (ie, < 2 cm), in which an anastomosis is performed between the 2 cut edges of the ureter. [13]


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