Iatrogenic ureteric injuries in gynecologic surgery are quite common. The laparoscopic spectra of treatment gives a wide range of application. We present the case of a 40-year-old female who underwent total abdominal hysterectomy with bilateral salpingo-oopherectomy for dysfunctional uterine bleeding. Postoperatively, she had oliguria with raised creatinine and was found to have ureteric narrowing on magnetic resonance urogram. The patient was successfully managed by laparoscopic (Boari flap) ureteroneocystostomy.
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Cureus
December 2024
Obstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Background Ureterovaginal fistulae usually follow iatrogenic injury to the ureter during pelvic surgery. This manifests as urine incontinence and results in serious psychosocial effects on women. Ureterovaginal fistulae unlike vesicovaginal fistulae present challenges in diagnosis and management especially in resource-constrained settings.
View Article and Find Full Text PDFTransl Androl Urol
December 2024
Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Background: The treatment of transplant ureteral stricture (TUS) has been a great challenge, and there is limited experience with indocyanine green (ICG) fluorescence-guided robotic Boari flap-pelvis anastomosis to identify ureteral stenosis segments (especially long-segment) and their postoperative blood supply. We report case series of ureteral strictures treated with ICG fluorescence-guided robotic Boari flap-pelvis anastomosis in our center.
Case Description: We retrospectively collected clinical data of six patients diagnosed with long-segment even full-length TUS who underwent robotic Boari flap-pelvis anastomosis with the assistance of modified distribution of robotic ports and ICG fluorescence between June 2022 and June 2024, focusing on postoperative renal function, stenosis recurrence, and urinary fistulae.
Investig Clin Urol
January 2025
Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Purpose: To evaluate the feasibility of robot-assisted ureteral reconstruction as a minimally invasive alternative to open surgery for managing ureteric complications in transplanted kidneys.
Materials And Methods: From January 2020 to December 2023, robot-assisted ureteral reconstruction was performed on fifteen kidney transplant patients with vesicoureteral reflux (VUR) or ureteral stricture who had previously failed endoscopic treatments.
Results: Twelve females and three males, with a mean age of 48.
J Robot Surg
September 2024
Department of Urology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, No. 218 Jixi Road, Hefei, 230022, Anhui, People's Republic of China.
Cureus
August 2024
Department of Urology, Ministry of Internal Affairs Hospital Poznan, Poznan, POL.
Although the Boari flap technique is commonly described in the literature as a method for primarily distal and middle ureteral injuries, it can also be used for reconstructing the proximal segment of the ureter. In this case study, we present a patient who underwent gynecological surgery with subsequent damage to the proximal ureter, and who underwent ureteral reconstruction using methods such as kidney mobilization, Boari flap, and psoas hitch. The postoperative period was uncomplicated, and after a six-month follow-up, the reconstructed ureter is functioning well, and the patient is in good health.
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