DOI: 10.36347/sjams.2019.v07i01.059

Pages: 327-336

The incidence of iatrogenic ureteric injuries varies from 0.5–10% in different studies. This study was designed to describe our experiences in the presentation, detection, management and outcome of iatrogenic ureteric injuries. It was seen that mean age of presentation was 38 years with clear female preponderance (M:F = 1:8). Hysterectomy was most common aetiology affecting almost 56% of patients. About 56% of patients were diagnosed after 7 days of primary surgery. Left side ureter was affected more (50%) with almost 78% involvement of lower third of ureter. Suture ligation and ureteric transection was found as most common cause of injury in this study. Ureteroneocystostomy was most commonly performed procedure for repair. Our experience in this study shows that iatrogenic ureteric injuries are still common in our environment and total abdominal hysterectomy accounts for most cases. Most of the injuries are a result of complications of abdominopelvic operations in the peripheral hospitals. Meticulous surgical technique along with identification of the course of the ureter and associated anatomic locations where injury is most likely to occur is important to decrease the risk of ureteric injury. Early recognition and prompt repair of ureteric injuries is the key to a successful outcome.