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Urology (Expert Forum)
Re: uterer damaged
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Re: uterer damaged
by hfhs M.D.-AK, Jan 01, 1995 12:00AM
Posted By HFHS M.D.-AK on February 08, 1999 at 15:32:24:
In Reply to: uterer damaged posted by michele on February 05, 1999 at 17:22:47:
I had a complete historectomy done and the doctor accidentaly stitched closed my ueterer. As a result of the stitch I now have a whole in my uterer. I know have a tube in my back into my left kidney and carry around a urine bag. It has been roughly 9 weeks of multiple problems back and forth to the doctors. It has partially healed but has not healed totally. The doctors are suggesting surgery to correct this mistake. Please inform me as to waht my options are and if possible who you suggest to see for a second opinion? Thank you for your help.
Dear Michele,
During a hysterectomy, stitches are placed very near the ureters. It is not uncommon for urologists to be called to the operating room for this complication. The treatment for this condition is removal of the stitch if found intra-operatively, percutaneous drainage of the kidney with a nephrostomy tube, which you are currently experiencing, or stent placement across the narrowed ureter if at all possible.
You mentioned that you have a hole in the ureter. I dont have the ability to see your films, but if dye was infused through your nephrostomy tube, your doctor could get an idea where your obstruction and perforation is located. I doubt that a stent placed in the ureter at this time (if it would be possible to do so) would be effective.
An open operation will most likely need to be performed to remove the strictured/perforated ureter at the location of the stitch and rehook the two ends of the ureter together.
I would suggest you see a urologist if you have not done so already.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Ureteral Stenosis, ureteral stenosis, ureteral trauma
In Reply to: uterer damaged posted by michele on February 05, 1999 at 17:22:47:
I had a complete historectomy done and the doctor accidentaly stitched closed my ueterer. As a result of the stitch I now have a whole in my uterer. I know have a tube in my back into my left kidney and carry around a urine bag. It has been roughly 9 weeks of multiple problems back and forth to the doctors. It has partially healed but has not healed totally. The doctors are suggesting surgery to correct this mistake. Please inform me as to waht my options are and if possible who you suggest to see for a second opinion? Thank you for your help.
Dear Michele,
During a hysterectomy, stitches are placed very near the ureters. It is not uncommon for urologists to be called to the operating room for this complication. The treatment for this condition is removal of the stitch if found intra-operatively, percutaneous drainage of the kidney with a nephrostomy tube, which you are currently experiencing, or stent placement across the narrowed ureter if at all possible.
You mentioned that you have a hole in the ureter. I dont have the ability to see your films, but if dye was infused through your nephrostomy tube, your doctor could get an idea where your obstruction and perforation is located. I doubt that a stent placed in the ureter at this time (if it would be possible to do so) would be effective.
An open operation will most likely need to be performed to remove the strictured/perforated ureter at the location of the stitch and rehook the two ends of the ureter together.
I would suggest you see a urologist if you have not done so already.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Ureteral Stenosis, ureteral stenosis, ureteral trauma
