Can Radiological Imaging Accurately Predict the Length of the Ureteral Defect/Stricture Following Ureteral Injury?
Urology Journal,
Vol. 22 No. 03 (2025),
9 September 2025
,
Page 132-138
https://doi.org/10.22037/uj.v21i.8168
Abstract
Purpose: The incidence of ureteral injury is increasing due to extensive application of the endourological procedures. In the present study, we evaluated the accuracy of imaging studies in predicting length of defect in patients with ureteral injury.
Methods: We reviewed data of all consecutive patients who underwent endourological management for ureteral injury in our institution from Jan 2020 to Jan 2023, to assess the accuracy of radiological evaluations in determining the length of ureteral defect. We compared the radiological imaging results with intraoperative findings to determine its diagnostic accuracy.
Results: We report data on accuracy of preoperative imaging and outcomes of endourological management in 5 patients who presented with apparently long ureteral defects in preoperative radiological evaluations following ureteral injury. The mean age was 42[30.5-42.5]. three of five were male. The mean time from injury to ureteroscopic management was 12.5±7.5 days. The mean follow up time was 7.3±2.2 months. Our experience showed that radiological evaluations have the potential to overestimate the length of defect.
Conclusion: Radiological evaluations following ureteral injury have the potential to overestimate the length of defect and therefore endoscopic evaluations and intraoperative imaging studies are necessary to accurately determine the length of defect and appropriate management. However, endourological management is safe and efficient in treating patients with short segment ureteral defect/injury.
- Endoscopic management
- Iatrogenic ureteral injury
- Radiologic evaluation
- Ureteroscopy
How to Cite
References
Morey AF, Broghammer JA, Hollowell CMP, McKibben MJ, Souter L. Urotrauma Guideline 2020: AUA Guideline. J Urol. 2021;205:30-5.
Kominsky HD, Shah NC, Beecroft NJ, et al. Does Timing of Diagnosis and Management of Iatrogenic Ureter Injuries Affect Outcomes? Experience From a Tertiary Center. Urology. 2021;149:240-4.
Cornu JN, Herrmann T, Traxer O, Matlaga B. Prevention and Management Following Complications from Endourology Procedures. Eur Urol Focus. 2016;2:49-59.
Sharifiaghdas F, Bonakdar Hashemi M, Dadpour M, Aslani A, Farshid S. Antegrade Percutaneous Retrieval of Upward Migrated Double-J Stent in Very Small Size Pediatric Patients Under Ultrasonic Guide. J Laparoendosc Adv Surg Tech A. 2023;33:303-7.
Klett DE, Mazzone A, Summers SJ. Endoscopic Management of Iatrogenic Ureteral Injury: A Case Report and Review of the Literature. J Endourol Case Rep. 2019;5:142-4.
Allameh F, Razzaghi M, Abedi AR, Dadpour M. The learning curves for laser application in urology procedures: review of the literature. Journal of Lasers in Medical Sciences. 2020;11:S8.
Ghaed MA, Daniali M, Ebrahimian M. First experience of inserting a Metallic Mesh Stent (Uventa Stent) in malignant ureteral obstruction in Iran. Urology journal. 2018;15:59-61.
Ledderose S, Beck V, Chaloupka M, Kretschmer A, Strittmatter F, Tritschler S. [Management of ureteral injuries]. Urologe A. 2019;58:197-206.
Alabousi A, Patlas MN, Menias CO, et al. Multi-modality imaging of the leaking ureter: why does detection of traumatic and iatrogenic ureteral injuries remain a challenge? Emerg Radiol. 2017;24:417-22.
Martov AG, Gurbanov S, Tokareva EV, Shcherbinin SN, Kornienko SI. [Comparison of the results of magnetic resonance urography and other examination methods in patients with iatrogenic injuries of the ureter and pelvis-ureteral segment]. Urologiia. 20097-12.
Zielonko J, Studniarek M, Markuszewski M. MR urography of obstructive uropathy: diagnostic value of the method in selected clinical groups. Eur Radiol. 2003;13:802-9.
Abboudi H, Ahmed K, Royle J, Khan MS, Dasgupta P, N'Dow J. Ureteric injury: a challenging condition to diagnose and manage. Nat Rev Urol. 2013;10:108-15.
Hosseini SR, Gorji A, Fakhr Yasseri AM. Endourological management of mucosal ureteral avulsion: Case report. Urol Case Rep. 2021;36:101595.
Cebeci OO, Özkan TA. Does Endourological Intervention a Suitable Treatment Options in Management of Iatrogenic Thermal Ureteral Injury? Authorea Preprints. 2021.
- Abstract Viewed: 422 times
- 8168/pdf Downloaded: 98 times