Ureteral complications of pelvic surgery. Apropos of 21 cases
Dauplat, J.; Allard, H.; Gauthier, J.P.; Giraud, B.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 12(4): 385-394
1983
ISSN/ISBN: 0368-2315 PMID: 6630919 Document Number: 220685
The authors describe 21 injuries to the ureter after pelvic surgery: 13 fistulae including 2 bilateral ones, 6 stenoses of the ureter and 2 other traumata. 16 followed colpohysterectomy with removal of lymph glands radically performed. They point out that stenoses often regress after extended surgery and how valuable the psoas hitch is. They prefer to wait before attempting to repair fistulae after radical hysterectomy because some recover spontaneously and poor results follow early cure when the tissues are septic.