What is included in preoperative care for iatrogenic ureteral injury repair?

Updated: Nov 12, 2020
  • Author: Sandip P Vasavada, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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If consultation with a urologist is indicated intraoperatively, the urologist dictates no specific preoperative preparation.

If a ureteral injury is identified after the patient is stabilized following the initial gynecologic operation, a discussion is conducted regarding the possible treatment options. Preoperative antibiotics that target urinary organisms should be administered. If patients are persistently febrile secondary to a potentially infected and obstructed renal unit, percutaneous nephrostomy on the affected side may be indicated. Pertinent radiographic studies (eg, intravenous urography, computed tomography) may be used to help define the location of ureteral injury preoperatively.

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