Laparoscopic Ureteroureteral Anastomosis for Distal Ureteral Injuries during Gynecologic Laparoscopic Surgery

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. Journal of Minimally Invasive Gynecology (2010) 17, 468-472 (c) 2010 AAGL. All rights reserved.