ArticleDiagnostics (Basel, Switzerland)2021
Diagnostic and Interventional Radiology Management of Ureteral Iatrogenic Leakage after Gynecologic Surgery.
Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Clinical applications of vascular and non-vascular interventional procedures for various urologic diseases: a pictorial essay.Abdominal radiology (New York) · 2026Review
- Laparoscopic ureteral anastomosis to a bladder diverticulum for the treatment of postoperative ureteral fistula: a case report.Frontiers in medicine · 2026Article
- The safety and efficacy of through-and-through wire technique for ureteral Double-J stent placement.Pakistan journal of medical sciences · 2024Article
- Role of interventional radiology in the management of iatrogenic urinary tract injury: the factors affecting the outcomeDiagnostic and interventional radiology (Ankara, Turkey) · 2024Article
- The Rendezvous Technique: A Minimally Invasive Non-Surgical Approach for the Management of Iatrogenic Ureteral Injuries.Journal of clinical medicine · 2024Article
- Early percutaneous antegrade-retrograde rendezvous repair of a transected ureter-a real therapeutic option.Journal of surgical case reports · 2022Article
- Difficulties in Diagnosing Extraperitoneal Ureteroinguinal Hernias: A Review of the Literature and Clinical Experience of a Rare Encounter in Acute Surgical Care Settings.Diagnostics (Basel, Switzerland) · 2022Review
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Authors and funding
13 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report safety and efficacy of interventional radiology procedures in the treatment of gynecologic iatrogenic urinary leaks.
methodsA retrospective analysis of iatrogenic ureteral lesions treated between November 2009 to April 2019 was performed. Under ultrasound (US) and fluoroscopy guidance, an attempt to place a ureteral stent and nephrostomy was carried out in the same session using an anterograde percutaneous approach. At the end of any procedure, a fluoroscopic control and a cone-beam CT scan (CBCT) were performed to check the correct placement and functioning of the nephrostomy and DJ stent. In cases of difficult ureteral stent placement via the single anterograde approach, the collaboration of urologists was requested to perform a rendezvous technique, combined with the retrograde approach.
resultsDJ stent placement was achieved using the anterograde approach in 12/15 (80.0%) patients and using the retrograde approach in 3/15 cases (20.0%). Moreover, in 3/15 (20.0%) patients, surgical treatment was needed: in one case because of the persistence of ureteral stenosis at 6 months, and in the other two cases due to ureter-vaginal fistula. No major complications were recorded; overall, minor complications occurred in 4/8 patients.
conclusionPercutaneous minimally invasive treatment of iatrogenic ureteral lesions after gynecological surgery is a safe and effective option.
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