Iatrogenic urologic injuries 

Ferrara M, Kann BR. Urological injuries during colorectal surgery. Clin Colon Rectal Surg. 2019 May;32(3):196-203.

“A recent retrospective population-based study of patients in the United States undergoing colorectal surgery found the overall incidence of ureteral injury to be 0.28%. The incidence was found to be significantly higher in patients with stage 3 or 4 cancer, malnutrition, steroid use, and in operations done at teaching hospitals. Rectal cancer cases were found to have the highest rates of ureteral injuries (7.1/1,000), followed by Crohn’s disease and diverticular disease (2.9/1,000 each). In this review, laparoscopic surgery was associated with a lower incidence of ureteral injuries when compared with open (1.1 vs. 2.8/1,000, p  < 0.001). Of the specific operations reviewed, abdominoperineal resection (APR) was found to have the highest rate of ureteral injury at 7.1/1,000 cases.” (Ferrara, 2019, p. 196)

Delacroix SE Jr, Winters JC. Urinary tract injures: recognition and management. Clin Colon Rectal Surg. 2010 Jun;23(2):104-12.

“Injury to the ureter is the most common urologic complication of pelvic surgery with an incidence of 1 to 10%.1,3,4,5,6,7,8 Urologic surgeons are not immune to iatrogenic ureteral injuries with urologic procedures accounting for up to 30% of injured ureters—most commonly due to intraluminal endoscopic procedures for stone disease.9,10 Gynecologic procedures account for the vast majority of ureteral injuries (up to 50% in some series). Surgical procedures involving the colon and rectum account for ∼5 to 15% of ureteral injuries, and this rate has remained stable even through the introduction and adoption of minimally invasive surgical techniques. Abdominoperineal resection followed by sigmoidectomy is most commonly associated with iatrogenic ureteral injuries in colorectal surgery.” (Delacroix, 2010, p. 105)

More PubMed results on iatrogenic ureteral injuries.

See also:

Iatrogenic ureteral injury in colorectal cancer surgery

Iatrogenic bladder injury and prevention of catheter-related bacteriuria

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