Department of Urology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea
Copyright © 2018 Yeungnam University College of Medicine
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Subject | Number of patients (%) |
---|---|
Total number of gynecologic surgery patients | 113,295 |
Urinary tract injuries | 593/113,295 (0.5) |
Bladder injury | 438 (0.4) |
Ureter injury | 155 (0.1) |
Stricture location | |
Proximal | 29 (18.7) |
Mid | 104 (67.1) |
Distal | 22 (14.2) |
Intraoperative primary repair | |
UUS | 114 (73.5) |
Ureteral stricture occurred after UUS | 105/114 (92.1) |
Treated with ureteral stent (no balloon dilation performed) | 3/105 (2.9) |
Treated with balloon dilation | 102/105 (97.1) |
UNC | 41 (26.5) |
Types of gynecologic surgery | Number of patients (%) |
---|---|
Robotic surgery | |
Robot assisted radical vaginal hysterectomy | 0 (0.0) |
Robot assisted myomectomy | 0 (0.0) |
Laparoscopic surgery | |
Laparoscopic radical vaginal hysterectomy | 7 (6.9) |
Laparoscopic myomectomy | 22 (21.5) |
Laparoscopic salphingo-oophorectomy | 15 (14.7) |
Open surgery | |
Radical abdominal hysterectomy | 32 (31.4) |
Myomectomy | 26 (25.5) |
Cesarean section | 0 (0.0) |
Predictor | OR (95% CI) | p-value |
---|---|---|
Univariate analysis | ||
History of previous abdominal surgery | 1.020 (1.003-1.816) | 0.040 |
Severe adhesions between ureter and adjacent tissues | 1.331 (1.065-2.001) | |
Surgery types | ||
Open UUS | Reference | 0.021 |
Laparoscopic UUS | 4.170 (0.932-8.014) | 0.325 |
Multivariate analysis | ||
History of previous abdominal surgery | 1.405 (0.870-1.527) | 0.186 |
Severe adhesions between ureter and adjacent tissues | 1.052 (1.002-1.210) | 0.047 |
Clinical factor | DSG | DUG | p-value |
---|---|---|---|
No. of patients | 62 (60.8) | 40 (39.2) | |
Age (yr) | 44.8±6.0 (35-55) | 44.7±5.3 (34-53) | 0.921 |
Length of stricture (cm), median (range) | 1.45 (0.8-4.0) | 2.7 (1.5-4.5) | 0.002 |
Stricture length >2 cm | 4 (6.5) | 32 (80.0) | 0.001 |
Previous ureteral stent insertion | 36 (58.1) | 24 (60.0) | 0.553 |
Duration between UUS and BD (mon) | 49.3±7.5 | 47.1±8.2 | 0.117 |
Stricture location | 0.980 | ||
Proximal | 11 (17.7) | 8 (20.0) | |
Mid | 43 (69.4) | 26 (65.0) | |
Distal | 8 (12.9) | 6 (15.0) | |
Multiple | 0 (0.0) | 0 (0.0) | |
BMI (kg/m2) | 21.3±2.4 | 22.4±3.6 | 0.877 |
DM | 7 (11.3) | 5 (12.5) | 0.062 |
Recurrence of gynecologic malignancy | 0 (0.0) | 0 (0.0) |
Clinical factor | Univariate |
Multivariate |
||||
---|---|---|---|---|---|---|
OR | 95% CI | p-value | OR | 95% CI | p-value | |
Age | 1.029 | 0.887-1.029 | 0.705 | |||
Stricture length >2 cm | 0.751 | 0.634-0.901 | 0.030 | 0.951 | 0.805-1.002 | 0.078 |
Stricture location | 2.166 | 0.551-8.514 | 0.269 | |||
Previous ureteral stent insertion | 1.332 | 0.709-2.330 | 0.473 | |||
Obesity (BMI >30 kg/m2) | 2.015 | 0.609-1.769 | 0.057 | |||
DM | 1.037 | 0.887-1.154 | 0.998 |
Values are presented as number (%). UUS, ureteroureterostomy; UNC, ureteroneocystostomy.
Values are presented as number (%). UUS, ureteroureterostomy.
UUS, ureteroureterostomy; OR, odds ratio; CI, confidence interval.
Values are presented mean±standard deviation or number (%). UUS, ureteroureterostomy; BD, balloon dilation; DSG, balloon dilation successful group; DUG, balloon dilation unsuccessful group; BMI, body mass index; DM, diabetes mellitus.
OR, odds ratio; CI, confidence interval; BMI, body mass index; DM, diabetes mellitus.