Combined Radiologic-Urologic Procedure for the Placement of Ureteral Stent in a Case of Bilateral Iatrogenic Ureteral Lesion

Abstract

Introduction Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions. Materials and Methods A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure. Results The patient improved clinically and the renal function returned within normal limits. Conclusions The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.