Iatrogenic Ureteric Injuries ? Our Experience at a Tertiary Care Centre

The main aim of the study was to review the causes, the clinical presentation, the type of ureteric injuries, the investigative modalities employed and the treatment of iatrogenic ureteric injury, from January 2006 to December 2014 in department of Urology, Sher-I-Kashmir Institute of Medical Sciences (SKIIMS). In this period thirty two patients with thirty three injuries were identified. Gynaecological surgeries accounted for 80.6 % of the injuries. Of these, abdominal hysterectomy accounted for 54.6 % of total injuries. Right sided injuries (66.3 %) were commoner than left sided injuries (30.2 %). Of the injuries 79.9 % occurred in the lower third, 15.9 % in the middle third and 6.1 % in the upper third of the ureter, respectively. One of our patients had bilateral ureteric injuries. Preoperative placement of ureteric catheter can help in prompt diagnosis of ureteric injury in patients at high risk for the same. The definitive management for ureteric injuries is surgical intervention. . Only if the patients are not fit for surgery, should percutaneous nephrostomy be done in the interim period.