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Double-J stenting: initial management of injured ureters recognized late after gynecological surgery

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Abstract

Introduction and hypothesis

To evaluate the efficacy of double-J stenting as an initial procedure to manage ureteral injuries detected late after gynecological surgery.

Methods

Eight patients whom the insertion of double-J stent was done primarily were evaluated. Medical records were investigated retrospectively.

Results

Ureteral injuries were unilateral in seven and in one patient was bilateral (nine ureters in total). In two patients that double-J stentings were failed underwent open surgery. In six patients (seven ureters), double-J stentings were successful either by cystoscopy or ureteroscopy and four ureters were recovered without sequelae. However, in three ureters, stenosis was remained and managed by ureteral dilation with placement of double-J stent. But, one was lost at follow-up schedule.

Conclusions

Ureteral double-J stenting, as first-line treatment, could avoid invasive urological surgery in damaged ureter detected after gynecological surgery. More cases are needed for accurate conclusions.

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Abbreviations

IVP:

Intravenous pyelography

PCN:

Percutaneous nephrostomy

LAVH:

Laparoscopically assisted vaginal hysterectomy

RH:

Radical hysterectomy

AH:

Abdominal hysterectomy

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Authors and Affiliations

  1. Department of Urology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, #665, Bupyeong 6-dong, Bupyeong-gu, Incheon, Korea

    Jae Sik Kim, Dong Hwan Lee & Hong Jin Suh

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  1. Jae Sik Kim
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  2. Dong Hwan Lee
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  3. Hong Jin Suh
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Correspondence to Hong Jin Suh.

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Kim, J.S., Lee, D.H. & Suh, H.J. Double-J stenting: initial management of injured ureters recognized late after gynecological surgery. Int Urogynecol J 21, 699–703 (2010). https://doi.org/10.1007/s00192-009-1092-6

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  • DOI: https://doi.org/10.1007/s00192-009-1092-6

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