2012 Annual Meeting-Transvaginal Ureteroureterostomy

Video Transcription

Video Summary

The video discusses ureteral injuries that can occur during gynecologic procedures and presents a case series of three postmenopausal women who experienced ureteral transection during vaginal reconstructive surgery. The video outlines the procedures for transvaginal ureteral ureterostomy to repair these injuries. Key steps include identifying the proximal and distal ends of the transected ureter, placing a double-J ureteral stent, performing an anastomosis using sutures, and closing the repair in multiple layers. Postoperative management involves the use of an indwelling ureteral stent and follow-up evaluations to ensure proper healing and drainage. This technique helps maintain bladder integrity and limit morbidity. No specific credits were mentioned.

Keywords

ureteral injuries

gynecologic procedures

ureteral transection

vaginal reconstructive surgery

transvaginal ureteral ureterostomy