Ureteral injury due to external violence: 49 cases over 5 years

W. G. Guerriero, C. B. Harrison

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1 Scopus citations


A total of 49 cases of ureteral trauma secondary to external violence occurring over 5 years were reviewed with regard to etiology, diagnosis, associated injury, management, and follow-up. In all, 47 cases (95.9%) of penetrating and 2 (4.1%) of blunt trauma occurred; 45 cases (91.8%) occurred in men and 4 (8.2%), in women. Both blunt ureteral injuries were secondary to auto/pedestrian accidents. Overall, 92% of ureteral injuries were associated with injury to other organ systems. Our management principles for ureteral injuries have previously been reported [2, 3]. These include debridement, a watertight, tension-free anastomosis, isolation of the anastomosis, and Penrose drainage of the area proximal to the anastomosis. Postoperative complications occurred in eight patients; these consisted of three strictures, two urinomas, two cutaneous fistulas, and one perinephric abscess. There were six perioperative deaths, all unrelated to the genitourinary injuries.

Original languageEnglish (US)
Pages (from-to)214-217
Number of pages4
JournalWorld journal of urology
Issue number4
StatePublished - Dec 1 1990

ASJC Scopus subject areas

  • Urology


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