Discussion in 'All Categories' started by emmanuel gbejegbe - Jan 25th, 2011 10:25 pm. | |
emmanuel gbejegbe
|
my patient had hysterectomy a year ago, she developed chronic pelvic pain. investigation reviled partial right ureteric obstruction. we suspect adhesion and bands.can she benefit laparoscopic surgery?. what is the cost and what is the protocol. |
re: Ureteric obstruction after hysterectomy
by Sadhana Mishra -
Jan 25th, 2011
10:27 pm
#1
|
|
Sadhana Mishra
|
First we should to do IVP and evaluate where the stricture is? We should also try to put DJ stent. Direct laparoscopy is not going to give you much benefit. |
re: Ureteric obstruction after hysterectomy
by Lore -
Apr 20th, 2011
2:25 am
#2
|
|
Lore
|
In awe of that asnwer! Really cool! |
re: Ureteric obstruction after hysterectomy
by Dr J.S. Chowhan -
Jun 4th, 2012
10:56 am
#3
|
|
Dr J.S. Chowhan
|
Ureteral injury is one of the most serious complications of gynecologic surgery. Less common than injuries towards the bladder or rectum, ureteral injuries are far more serious and troublesome and are often related to significant morbidity, the development of ureterovaginal fistulas, and the potential loss of kidney function, particularly when recognized postoperatively. Therefore, injuries towards the urinary tract, specially the ureter, are the most typical cause of law suit against gynecologic surgeons. Regardless of the close anatomical association between your female reproductive organs and also the ureter, injury to the ureter is comparatively uncommon. Nevertheless, when a ureteral injury does occur, quick recognition of the problem along with a working knowledge of its location and treatment are crucial in providing patients with optimal health care. The objective of this article is to elucidate how and why ureteral injuries occur and to review their surgical and nonsurgical treatments. |