Iatrogenic Ureteral Injuries Associated with Gynecological and Surgical Procedures: Our Experience About 18 Cases and Literature Review

Adama Ouattara,1 Abdoul-Karim Pare,1 Fasnewinde Aristide Kabore,2 Clotaire Yameogo,2 Desire Ky,2 Dramane Bayané,1 Delphine Ye,1 Timothee Kambou1 1Division of Urology, Souro Sanou Teaching Hospital, Bobo-Dioulasso, Burkina Faso; 2Division of Urology, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina FasoCorrespondence: Adama OuattaraDivision of Urology, P.O. Box:1465, Bobo-Dioulasso, Burkina-FasoEmail adamsouat1@hotmail.comAim: To describe the epidemiological aspects, etiology and outcome of iatrogenic ureteral injury repair at the urology division of Souro Teaching Hospital of Bobo Dioulasso (Burkina-Faso).Patients and Methods: This was a retrospective descriptive study of consecutive patients with iatrogenic ureteric injuries who were referred and managed in the urology division of Souro Sanou Teaching Hospital (Bobo-Dioulasso) from January 2012 to December 2017. Variables studied were age, the time at the diagnosis, the causative event, the method of repair, and the outcome of the management.Results: The mean age was 37.72± 3.5 years coming from the rural population in most cases. The mean time at the diagnosis was 15 days. The injuries were due to gynecologic surgeries with hysterectomy (66%) and caesarian section (33%). Ureteric reimplantation with anti-reflux system was performed in seventeen patients. The rate of treatment success was 94% and the postoperative course was uneventful for all the patients.Conclusion: Iatrogenic ureteric lesions at the department of urology of Sanou Sourou teaching hospital of Bobo Dioulasso were mainly caused by gynecologic and obstetric surgeries like hysterectomy and caesarian section.Keywords: iatrogenic, ureter, injury, pelvic surgery