Iatrogenic injury to the ureters as a complication of surgical interventions on the pelvic organs

Simanov R.N., Sirotinina E.V.

1) Petrozavodsk State University, Republic of Karelia, Petrozavodsk, Republic of Karelia, Russia; 2) Republican Hospital named after V.A. Baranov, Republic of Karelia, Petrozavodsk, Republic of Karelia, Russia

With the progressive development of video endoscopic and laparoscopic operations, a direct relationship is formed with an increase in the number of patients with iatrogenic ureteral injury (hereinafter referred to as IUI). In the postoperative period, it is sometimes difficult to identify this type of ureter injury, and complications that occur in the long term after surgery can significantly worsen the patient’s quality of life, and even lead to death.
The literature review was conducted in order to study the mechanisms of the most common iatrogenic ureteral injuries, as well as methods of prevention and treatment of this complication.
Scientific articles were critically reviewed by searching the main electronic databases – Medscape, PubMed, Scopus, as well as scientific electronic libraries «CyberLeninka», RSCI and eLibrary.ru. The following search words were used: iatrogenic ureteral injury, ureteral damage, complications of endovideosurgery in urology, obstetrics and gynecology, emergency urology. 42 publications of domestic and foreign authors have been selected for this scientific article.
The literature review highlights the authors’ current understanding of the aspects of IUI in various types of pathologies and surgical interventions, as well as methods of prevention and treatment of this type of complications.
IUI is an important, complex and urgent problem of modern urology. The literature review is aimed at highlighting such an urgent problem in order to reduce the risk of injury to the ureters during surgical procedures not only by urologists, but also by related specialists – obstetricians and gynecologists, proctologists, surgeons and traumatologists.

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About the Authors

Corresponding author: R.N. Simanov – PhD in medicine, associate professor at the Department of Hospital Surgery, ENT Diseases, Ophthalmology, Dentistry, Oncology, and Urology at the Medical Institute named after Professor A.P. Zilber Petrozavodsk State University, Republic of Karelia, Petrozavodsk, Russia; the head of the Urology Department Republican Hospital named after V.A. Baranov, Republic of Karelia, Petrozavodsk, Russia; e-mail: ruslansimanov@yandex.ru