Laparoscopic ureteroneocystostomy: PSOAS hitch following ureteral injury during hysterectomy

Priya Lakshmanan; Sowbarnika Rajaraman; Madhumitha Durairaj; Sandhiya; Poovizhi

doi:10.18203/2320-1770.ijrcog20241789

Authors

Priya Lakshmanan Department of Obstetrics and Gynecology, Aakash Hospital, Chennai, Tamil Nadu, India
Sowbarnika Rajaraman Department of Obstetrics and Gynecology, Aakash Hospital, Chennai, Tamil Nadu, India
Madhumitha Durairaj Department of Obstetrics and Gynecology, Aakash Hospital, Chennai, Tamil Nadu, India
Sandhiya Department of Obstetrics and Gynecology, Aakash Hospital, Chennai, Tamil Nadu, India
Poovizhi Department of Obstetrics and Gynecology, Aakash Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241789

Keywords:

Ureteroneocystostomy, PSOAS hitch, Ureteric injury

Abstract

Injury to ureter is a known complication of pelvic or abdominal surgery, including laparoscopy and ureteroscopy. The incidence of iatrogenic ureteral injury during vaginal hysterectomy is 0.02 to 0.5% and after abdominal hysterectomy is 0.03 to 2%. Patient with ureteric injury should be evaluated and intervened at the earliest. The laparoscopic technique of ureteral reimplantation for the repair of ureteral obstruction due to hysterectomy injury may be challenging, but is feasible. vesicopsoas hitch is done to relieve tension after ureteroneocystostomy. A complete exposure and a good knowledge regarding the course of the ureter is necessary to avoid iatrogenic ureteral injury. JJ stenting can be done in cases with high risk of ureteric injury.

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