The Management of Bilateral Ureteric Injury following Radical Hysterectomy

Table 1

Details of diagnosis, management, and outcome of patients with bilateral ureteric injury. Abbreviations: IVU (intravenous urogram), CT scan (computed tomogram).

Patient	Presenting symptom	Initial imaging	Ureterovaginal fistula	Antegrade/retrograde stent	Healed with stent alone	Long-term outcome
1	Vaginal discharge	IVU	Yes, 1 ureter	Retrograde, both ureters	Recurrent right stricture, reimplanted	Normal creatinine, detrusor overactivity
2	Vaginal discharge	IVU	Yes, 2 ureters	Retrograde + antegrade	Yes	Normal creatinine, endoscopic dilatation stricture
3	Anuria & acute renal failure	Ultrasound & CT scan	No	Unable to stent, therefore reimplantation	—	Elevated creatinine, detrusor overactivity
4	Vaginal discharge	IVU	Yes, 2 ureters	Retrograde + antegrade	Persistent leak, therefore reimplantation	Normal creatinine, low-pressure voiding
5	Vaginal discharge	IVU	Yes, 1 ureter	Retrograde, both ureters	Yes	Normal creatinine, hydroureter (1)