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Difficulties in Laparoscopic Ureteral and Bladder Reconstruction

  • Rakesh V. KhannaEmail author
  • Ricardo Brandina
  • Andre Berger
  • Robert J. Stein
  • Inderbir S. Gill
Chapter

Abstract

Ureteral reconstruction may be required in the setting of iatrogenic injury to the ureter, infectious strictures from tuberculosis, or schistosomiasis, endometriosis, trauma, or malignancy. Injury to the ureter is most commonly iatrogenic in nature. These occur most commonly in gynecological, colorectal, or urological procedures. Mechanism of injury may include transection, ligation, cautery injury, or devascularization. If not recognized and repaired intraoperatively, patients may present postoperatively with a urine leak or fistula.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Rakesh V. Khanna
    • 1
    Email author
  • Ricardo Brandina
    • 2
  • Andre Berger
    • 2
  • Robert J. Stein
    • 3
  • Inderbir S. Gill
    • 4
  1. 1.Glickman Urological and Kidney InstituteCleveland ClinicClevelandUSA
  2. 2.Department of UrologyUniversity of Southern CaliforniaLos AngelesUSA
  3. 3.Center for Laparoscopic and Robotic SurgeryGlickman Urological and Kidney Institute, Cleveland ClinicClevelandUSA
  4. 4.USC Institute of UrologyKeck School of Medicine, University of Southern CaliforniaLos AngelesUSA

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