Case Report: The Importance of Cystoscopic Evaluation and Management of Iatrogenic Lower Ureteric Injuries

Author Info

Gkentzis A Struan Gray

Corresponding Author

Struan Gray
The Royal Bolton NHS Foundation Trust, Minerva Road, Farnworth, Bolton, UK

A B S T R A C T

Four days after emergency caesarean section, a 26-year-old lady presents with severe right flank pain and is found to have right hydronephrosis. A right nephrostomy was inserted, but antegrade stent insertion failed. Cystoscopy revealed two sutures obstructing the right intramural ureter. These sutures were removed via the cystoscope using Holmium LASER. Immediate and follow up investigations showed resolution of the injury and normal urinary drainage. This case highlights the importance of cystoscopic assessment of iatrogenic lower ureteric injuries, and its role in their management.

Article Info

Article Type

Case Report

Publication history

Received: Fri 14, Feb 2020
Accepted: Fri 28, Feb 2020
Published: Fri 13, Mar 2020

Copyright

© 2023 Struan Gray. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSCR.2020.01.06