Naslov
War injuries of the ureter

Autori
Tucak, Antun ; Prlić, Damir ; Galić, Josip

Izvornik
European Urology (0302-2838) 39 (2001), S5;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, sažetak, znanstveni

Sažetak
Introduction and objectives: Peacetime ureleral injuries caused by the effects of external force are exceptionally rare as a result of the anatomy and anatomic relation of the ureter. In our study we present our experience with this type of war injury. Material and methodes: During the 18 months of war in Croatia, from 1991 until 1992, 4, 425 wounded patients werw treated at University Hospital Osijek. Urogenital injuries werw present in 155 treated patients (2, 6%) and among them ureteral injuries were present in 11 patients ( 9, 5%). Results: The ureteral injuries were discovered by chance during exploratoy abdominal surgery performet for other accompanying injuries. Ureteroureteral anastomosis was done in the three casees. In three cases ureterocystoneostomywas performed. Exploration was performed in three cases and nephroctomy was performed in two cases. It is important to emphasise that in three cases with conturions of the ureter wall that where not surgically reconstructed, the final result was ureteral stenosis. Moreover, in one sace the final result was complete obliteration of the ureteral lumen. Conclusions: In contemporary wartime with explosive weapons the injuries of ureter are more frequent. In our material ureteral injuries constituted 9, 5% of the total urogenital injuries. Resection of the ureter with primary ureteroureteral reconstruction yields good results, moreover this procedure is recommended in the case of ureteral consusion. Conservative approach in such cases resulted in ureteral stenosis.

Izvorni jezik
Engleski

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