[Ureter injuries: therapeutic approach and the role of ureteroscopy. Apropos of 18 cases]. / Traumatismes de l'uretère: attitude thérapeutique et place de l'urétéroscopie. A propos de 18 cas.

ABSTRACT

From June 1990 to June 1996, 18 patients with ureteric injuries were treated in our institution. All ureteric lesions were diagnosed post-operatively and repaired early (2 cases) or after a delay (16 cases). 4 patients underwent exclusive endourological treatment, 10 patients underwent repair by open surgery without preliminary endourological procedure, and in the remaining 4 patients, the two methods were combined. In this group, ureteroscopy, which facilitates intraoperative identification of the ureteric segment below the lesion, allowed end-to-end ureteric anastomosis, which, in the light of our results, constitutes the reference surgical technique.