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Ureteral procedures and complications
Research Guide
What is Ureteral procedures and complications?
Ureteral procedures and complications refer to the medical interventions involving the ureters, such as surgical repairs, reconstructions, and diagnostic evaluations, along with associated risks like iatrogenic injuries, obstructions, and fistulas observed primarily in obstetric and gynecological contexts.
This field encompasses 39,085 published works addressing ureteral injuries, obstetric vesicovaginal fistulas, diagnosis, management, surgical techniques, iatrogenic causes, and prevention strategies. Research highlights the use of laparoscopic and robotic-assisted surgeries, which influence ureteral injury incidence, alongside ureteral replacement with different tissues. Key topics include public health implications and social-economic consequences of obstetric fistulas.
Topic Hierarchy
Research Sub-Topics
Iatrogenic Ureteral Injury During Gynecologic Surgery
Research documents incidence, risk factors, and intraoperative detection methods for ureteral injuries in hysterectomy and endometriosis procedures. Studies evaluate outcomes of immediate repair versus delayed intervention.
Surgical Management of Obstetric Vesicovaginal Fistula
Investigations compare transvaginal versus transabdominal repairs, martius flap interpositions, and fistula closure success rates in resource-limited settings. Long-term continence and recurrence data guide technique selection.
Ureteral Reconstruction Techniques for Obstetric Injuries
Studies assess ureteroneocystostomy, psoas hitch, Boari flap, and ileal interposition for obstetric ureteral trauma repair. Outcomes include patency rates, renal function preservation, and complication profiles.
Laparoscopic Ureteral Injury Prevention Strategies
Research evaluates ureteral stents, intraoperative cystoscopy, and fluorescence imaging to mitigate thermal and mechanical injuries during minimally invasive gynecologic surgery. Training simulations reduce error rates.
Public Health Burden of Obstetric Ureteral Fistula
Epidemiological analyses quantify socioeconomic impacts, healthcare costs, and disability-adjusted life years lost to obstetric fistula in low-resource settings. Interventions target maternal health infrastructure deficiencies.
Why It Matters
Ureteral procedures and complications directly affect patient outcomes in obstetrics and gynecology, where iatrogenic ureteral injuries during surgeries can lead to long-term renal damage and fistulas requiring reconstruction. "Campbell-Walsh urology" by Alan J. Wein editor-in-chief (2012) details surgical anatomy of ureters and clinical evaluation principles essential for preventing such injuries, informing over 2,700 citing works. "EAU Guidelines on Interventional Treatment for Urolithiasis" by Christian Türk et al. (2015) provides standardized protocols for ureteral stone management, reducing complication rates in urolithiasis interventions cited 1,755 times. "Ureteral obstruction as a model of renal interstitial fibrosis and obstructive nephropathy" by Robert L. Chevalier et al. (2009) models post-procedural fibrosis, aiding prevention in obstetric fistula repairs with 1,008 citations.
Reading Guide
Where to Start
"Campbell-Walsh urology" by Alan J. Wein editor-in-chief (2012) provides foundational surgical anatomy of ureters, kidneys, and clinical evaluation principles, making it the ideal starting point for understanding procedures and injury risks.
Key Papers Explained
"Campbell-Walsh urology" by Alan J. Wein editor-in-chief (2012) establishes ureteral anatomy and evaluation basics, which "EAU Guidelines on Interventional Treatment for Urolithiasis" by Christian Türk et al. (2015) builds upon for procedural interventions in stone-related complications. "Ureteral obstruction as a model of renal interstitial fibrosis and obstructive nephropathy" by Robert L. Chevalier et al. (2009) extends this to pathological models of post-procedural damage. "Laparoscopic Live Donor Nephrectomy" by Peter G. Schulam et al. (1996) demonstrates minimally invasive techniques minimizing ureteral trauma, connecting to modern surgical prevention.
Paper Timeline
Most-cited paper highlighted in red. Papers ordered chronologically.
Advanced Directions
Current research emphasizes prevention in laparoscopic/robotic gynecologic surgeries and ureteral replacement tissues for fistulas, based on the 39,085 works focusing on iatrogenic causes and public health strategies.
Papers at a Glance
| # | Paper | Year | Venue | Citations | Open Access |
|---|---|---|---|---|---|
| 1 | Campbell-Walsh urology | 2012 | Elsevier eBooks | 2.7K | ✕ |
| 2 | EAU Guidelines on Interventional Treatment for Urolithiasis | 2015 | European Urology | 1.8K | ✕ |
| 3 | Surgery, Gynecology and obstetrics. | 2012 | Arquivos rio-grandense... | 1.5K | ✕ |
| 4 | International system of radiographic grading of vesicoureteric... | 1985 | Pediatric Radiology | 1.2K | ✕ |
| 5 | Clean, Intermittent Self-Catheterization in the Treatment of U... | 1972 | The Journal of Urology | 1.1K | ✕ |
| 6 | Medical-eligibility criteria for contraceptive use | 2001 | The Lancet | 1.1K | ✕ |
| 7 | Ureteral obstruction as a model of renal interstitial fibrosis... | 2009 | Kidney International | 1.0K | ✕ |
| 8 | Laparoscopic Live Donor Nephrectomy | 1996 | The Journal of Urology | 980 | ✕ |
| 9 | EAU Guidelines on Diagnosis and Conservative Management of Uro... | 2015 | European Urology | 915 | ✕ |
| 10 | Campbell Walsh Urology | 2016 | — | 915 | ✕ |
Frequently Asked Questions
What are common ureteral complications in obstetric procedures?
Obstetric vesicovaginal fistulas and iatrogenic ureteral injuries arise from prolonged labor or surgical interventions. These lead to urinary leakage and renal issues, often requiring reconstruction. Management focuses on diagnosis and prevention strategies as outlined in the field's 39,085 papers.
How are ureteral injuries diagnosed?
Diagnosis involves history, physical examination, urinalysis, and urinary tract imaging, as described in "Campbell-Walsh urology" by Alan J. Wein editor-in-chief (2012). Techniques identify obstructions or fistulas early. This approach supports clinical decision-making in urologic evaluations.
What surgical techniques manage ureteral urolithiasis?
"EAU Guidelines on Interventional Treatment for Urolithiasis" by Christian Türk et al. (2015) recommends interventional methods like ureteroscopy for stone removal. These reduce complications in ureteral procedures. Conservative options are covered in companion guidelines by the same authors.
What role does laparoscopy play in ureteral procedures?
"Laparoscopic Live Donor Nephrectomy" by Peter G. Schulam et al. (1996) demonstrates intact kidney removal with under 5 minutes warm ischemia via laparoscopic approach. This technique minimizes ureteral injury risks in donor surgeries. Outcomes include immediate urine production post-revascularization.
How is ureteral obstruction studied?
"Ureteral obstruction as a model of renal interstitial fibrosis and obstructive nephropathy" by Robert L. Chevalier et al. (2009) uses obstruction models to study fibrosis mechanisms. Findings inform management of post-procedural nephropathy. The model replicates clinical complication pathways.
What prevents urinary tract complications?
"Clean, Intermittent Self-Catheterization in the Treatment of Urinary Tract Disease" by Jack Lapides et al. (1972) establishes self-catheterization to manage retention and prevent infections. This method treats ureteral-related urinary issues effectively. It remains a standard non-surgical intervention.
Open Research Questions
- ? How can iatrogenic ureteral injury rates be minimized in robotic-assisted gynecologic surgeries?
- ? What optimal tissues improve outcomes in ureteral reconstruction for obstetric fistulas?
- ? Which diagnostic imaging advances best detect early vesicoureteric reflux in ureteral complications?
- ? How do public health strategies reduce social-economic impacts of untreated ureteral fistulas?
- ? What prevents renal interstitial fibrosis progression in unilateral ureteral obstruction models?
Recent Trends
The field includes 39,085 works on ureteral procedures and complications, with sustained focus on obstetric fistulas and iatrogenic injuries from laparoscopic/robotic surgeries, as per keyword analysis; no growth rate data available, and no recent preprints or news reported.
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