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Boari Flap

  • J. P. Blandy
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)

Abstract

A defect in the lower third of the ureter may result from many pathological conditions, but the most common by far is iatrogenic injury sustained in the course of hysterectomy, when the ureter has been crushed, ligated or divided. As a rule, after several days of obstruction that usually goes unnoticed, the necrotic wall of the injured ureter gives way and urine leaks through the vagina. Even then the diagnosis may be delayed by fruitless manoeuvres with methylene blue, and tampons in tandem, when the most important thing is to make sure that the fluid leaking from the vagina is urine. All that is required to confirm this diagnosis is a “blood urea” test, which can currently be performed on a drop of fluid taken up with a syringe as it pools in the vagina. Since there is no other body fluid with a urea content greater than that of blood, this simple test puts the diagnosis beyond dispute. Action should then follow without delay.

Keywords

Urethral Catheter Iatrogenic Injury Ureteric Injury Urologic Surgery Ureteric Catheter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Badenoch DF, Fowler CG, Thakar K et al. (1987) Early repair of accidental injury to the ureter or bladder following gynaecological surgery. Br J Urol 59: 516–518Google Scholar
  2. Blandy JP (1986) Operative urology, 2nd edn. Blackwell Scientific, Oxford, pp. 105–108, 182–185Google Scholar
  3. Bowsher WG, Shah PJR, Costello AJ et al. (1982) A critical appraisal of the Boari flap. Br J Urol 54: 682–685PubMedCrossRefGoogle Scholar
  4. Flynn JT, Tiptaft RC, Woodhouse CRJ, Paris AMI, Blandy JP (1979) The early and aggressive repair of iatrogenic ureteric injuries. Br J Urol 51: 454–457PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • J. P. Blandy

There are no affiliations available

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