Summary
A total of 49 cases of ureteral trauma secondary to external violence occurring over 5 years were reviewed with regard to etiology, diagnosis, associated injury, management, and follow-up. In all, 47 cases (95.9%) of penetrating and 2 (4.1%) of blunt trauma occurred; 45 cases (91.8%) occurred in men and 4 (8.2%), in women. Both blunt ureteral injuries were secondary to auto/pedestrian accidents. Overall, 92% of ureteral injuries were associated with injury to other organ systems. Our management principles for ureteral injuries have previously been reported [2, 3]. These include debridement, a watertight, tension-free anastomosis, isolation of the anastomosis, and Penrose drainage of the area proximal to the anastomosis. Postoperative complications occurred in eight patients; these consisted of three strictures, two urinomas, two cutaneous fistulas, and one perinephric abscess. There were six perioperative deaths, all unrelated to the genitourinary injuries.
Similar content being viewed by others
References
Burch JM, Brock JL, Gevirtzman L, Feliciano DV, Mattox KL, Jordan GL, DeBakey ME (1986) The injured colon. Ann Surg 203:701–711
Carlton CE Jr, Guthrie AG, Scott R (1969) Surgical correction of ureteral injury. J Trauma 9:457–464
Carlton CE Jr, Scott R, Guthrie AG (1971) The initial management of ureteral injuries: a report of 78 cases. J Urol 105:335–340
Guerriero WG, Devine CJ (1984) Ureteral trauma. In: Guerriero WG, Devine GJ (eds) Urologic injuries. Appleton-Century-Crofts, Norwalk, pp 45–71
Holden S, Hicks CC, O'Brien DP, Stone HH, Walker JA, Walton KN (1976) Gunshot wounds of the ureter: a 15-year revew of 63 consecutive cases. J Urol 115:562–564
Khashu BL, Seery WH, Smulewicz, JJ, Rothfeld SH (1975) Gunshot injuries to the ureter. Urology 6:182–186
Reznichek RL, Brosmann SA, Rhodes DB (1973) Ureteral avulsion from blunt trauma. J Urol 109:812–816
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Guerriero, W.G., Harrison, C.B. Ureteral injury due to external violence: 49 cases over 5 years. World J Urol 7, 214–217 (1990). https://doi.org/10.1007/BF01576345
Issue Date:
DOI: https://doi.org/10.1007/BF01576345