PMID: 6538132Jan 1, 1984Paper

Urological complications in gynecological surgery and radiotherapy

Contributions to Gynecology and Obstetrics
J Kunz

Abstract

Urological complications in connection with gynaecologically or obstetrically indicated operations are rare and usually only of clinical importance when they are not recognized and treated during the operation or in the immediate postoperative period. In such cases, for example, a ureteral lesion can result in loss of the function of the ipsilateral kidney, which is particularly serious when the primary operation was carried out for a benign primary disease. The aim of the present study was therefore to demonstrate to the gynaecologist above all the preventive and diagnostic measures serving to prevent lesions to the efferent urinary pathways or to aid their immediate diagnosis. Amongst the preventive measures is included first a discussion of the pelvic anatomy which, in consideration of the special problems involved in the preparation of the caudal ureter in extended abdominal hysterectomy, is supplemented by experimental and clinical studies on vascularization of the ureters. This section also includes a detailed description of the topographic and sometimes functional divergences of the urinary tract from the norm under physiological and pathological conditions, such as are typically encountered in gynaecologico-obstetric pa...Continue Reading

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