Ureteral Tract Injuries: Management and Post-Operative Considerations

Abstract

<h3>Study Objective</h3> Review surgical management of ureteral injury, review postoperative care considerations, discuss complications and long-term follow-up. <h3>Design</h3> Educational video. <h3>Setting</h3> Tertiary care, academic center. <h3>Patients or Participants</h3> N/A. <h3>Interventions</h3> N/A. <h3>Measurements and Main Results</h3> In this video, we review the management of different types of ureteral injury repair depending on the mechanism and location of injury. In particular, we illustrate ureteroureterostomy (end to end anastomosis), Boari flap, and psoas hitch. We review key surgical principles and evidence-based post-operative considerations, including ureteral stenting, drain placement and bladder decompression. Long term complications and care are discussed. <h3>Conclusion</h3> The ability to identify the location and extent of ureteral injuries critical to choosing the appropriate type of surgical repair. Understanding key surgical principles and postoperative considerations will assist in the prevention of short and long-term complications.