How was diagnosed and managed post-traumatic complete ureters disruption
in poland from 1995 to 1999?
Article published in Urologia Polska 2002/55/2.
Zygmunt F. Dobrowolski, Jacek Kusionowicz, Piotr Jakubik, Wojciech Habrat, Barbara Dobrowolska, Andrzej Strach
- Katedra i Klinika Urologii Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie Kierownik kliniki: prof, dr hab. Zygmunt R Dobrowolski
ureter, injury, diagnosis, management
- We prepared a special questionnaire with: diagnostic methods, and causes of uretral injury in years 1995-1999. We sent this questionnaire to all urological words in Poland. We received replies from 61 urological wards.
- We had 452 ureteral injuries among them 31 open injuries (7%), 81 closed injuries (18%), 340 iatrogenic injury. Most of them were caused by gynaecological procedures (72%). Ureteral injuries were often complicated with injury of kidneys, intestines and urinary bladder.
- During the treatment we had: 47,1% ureterocystoneostomy, Boari method - 25,05%, end to end junction 20,4%.
- The authors suggest: that in doubtful cases urological consultation with catheterisation of the ureters should be undertaken, because - prophylaxis is preferable treatment.
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