What is included in the follow-up care after iatrogenic ureteral injury repair?

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

In patients who do not require a cystotomy, the Foley catheter or suprapubic tube is left to drain the bladder until the drain output from the Penrose or JP drain is less than 30 mL per day. If this is achieved, the Foley catheter can be removed or the suprapubic tube can be clamped, and the output from the Penrose or JP drain is monitored. If no drainage occurs, the drain can be removed. If drainage increases from the previous level, the Foley catheter is replaced, or the suprapubic tube is unclamped. After several days, the same sequence of events occurs to determine whether the ureter has healed completely. If a stent or feeding tube is used, it can be removed 7-10 days after surgery.

In patients who require cystotomy, the Foley catheter or suprapubic tube is left in place for 7-10 days after surgery, at which time cystography is usually performed. If no extravasation is observed during the cystogram, the Foley catheter or suprapubic tube can be removed. At the same time, the outputs from the Penrose or JP drain are monitored. If no drainage occurs, the drain can be removed. If drain output increases from the previous level, the Foley catheter is replaced. After several days, the same sequence of events occurs to determine whether the ureter has healed completely. If a stent is used, the stent is removed 10-14 days after surgery.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!