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Ureteral injury is when the ureters, the tubes that carry urine from the kidneys to the bladder, get hurt. It is uncommon; however, it is most often linked to surgeries affecting the pelvis or abdomen, including hysterectomy, colorectal surgery, or urologic surgery. Accidental medical procedures, trauma, or penetrating injuries might also have a role.
Clinical symptoms may encompass abdominal pain, flank pain, haematuria, fever, urine incontinence, or hydronephrosis. In rare situations, symptoms may stay mild, which can make it harder to get a diagnosis and raise the risk of problems including infection, fistula formation, or kidney failure.
Imaging tests like CT urography, retrograde pyelography, or ultrasound can assist clarify how bad the injury is and where it is. It is very important to recognise injuries right away, because if they aren't treated, they might lead to sepsis or irreversible kidney damage.
The type and severity of the injury will determine how it is treated. Ureteral stenting or nephrostomy drainage can help with minor injuries, but more complicated instances need surgery to fix the problem or reimplant the ureter.
Preventive treatments, such as careful surgical technique and identifying the ureter during surgery, are very important for lowering risk. Early intervention leads to improved outcomes, protects kidney function, and stops long-term illness in people who have ureteral damage.