Study objective: To estimate the feasibility and surgical outcomes of laparoscopic ureteroureteral for treatment of distal ureteral injuries.
Design: Retrospective clinical study (Canadian Task Force classification II-2).
Setting: University teaching hospital.
Patients: Four women with ureteral transection or ureterovaginal fistula.
Intervention: Laparoscopic ureteroureteral .
Measurements and main results: Median age of patients was 44 (range, 33-63) years, and median operating time was 110 (range, 85-150) minutes. There were no conversions to laparotomy. No intraoperative or postoperative complications occurred. Follow-up ranged from 20 to 46 months. All patients have been asymptomatic, and follow-up intravenous pyelograms and ultrasound examinations have been normal.
Conclusion: Laparoscopic ureteroureteral anastomosis is an alternative surgical option in women with distal ureteral injuries during gynecologic laparoscopic surgery.
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