Combined Radiologic-Urologic Procedure for the Placement of Ureteral Stent in a Case of Bilateral Iatrogenic Ureteral Lesion

Abstract

Introduction

Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions.

Materials and Methods

A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure.

Results

The patient improved clinically and the renal function returned within normal limits.

Conclusions

The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.

Keywords

Urinoma Iatrogenic ureteral lesions Ureteral stent Lesioni ureterali iatrogene Stent ureterali

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