Incomplete ureteric injury following abdominal hysterectomy

Discussion:

Ureteric injury is a well recognized complication of hysterectomy. Diagnosis requires correct CT technique i.e. delayed post contrast scanning. It is important for the treating surgeon to know the site of leak and if it is a complete or incomplete injury. If complete the patient will require nephrostomy and/or open surgical intervention. If incomplete, the urologist will attempt retrograde stenting under cystoscopic control.

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