TY - JOUR A2 - Park, Sangtae AU - Shaw, Matthew B. K. AU - Tomes, Mark AU - Rix, David A. AU - Dorkin, Trevor J. AU - Murthy, Lakkur N. S. AU - Pickard, Robert S. PY - 2008 DA - 2008/06/18 TI - The Management of Bilateral Ureteric Injury following Radical Hysterectomy SP - 524919 VL - 2008 AB - Iatrogenic ureteric injury is a well-recognised complication of radical hysterectomy. Bilateral ureteric injuries are rare, but do pose a considerable reconstructive challenge. We searched a prospectively acquired departmental database of ureteric injuries to identify patients with bilateral ureteric injury following radical hysterectomy. Five patients suffered bilateral ureteric injury over a 6-year period. Initial placement of ureteric stents was attempted in all patients. Stents were placed retrogradely into 6 ureters and antegradely into 2 ureters. In 1 patient ureteric stents could not be placed and they underwent primary ureteric reimplantation. In the 4 patients in which stents were placed, 2 were managed with stents alone, 1 required ureteric reimplantation for a persistent ureterovaginal fistula, and 1 developed a recurrent stricture. No patient managed by ureteric stenting suffered deterioration in serum creatinine. We feel that ureteric stenting, when possible, offers a safe primary management of bilateral ureteric injury at radical hysterectomy. SN - 1687-6369 UR - https://doi.org/10.1155/2008/524919 DO - 10.1155/2008/524919 JF - Advances in Urology PB - Hindawi Publishing Corporation KW - ER -