Abstract
The ureter is a thick-walled narrow tube measuring approximately 25–30 cm in length and varying in diameter from 1 to 10 mm, in cases of urinary obstruction even larger. It has three different layers (Fig. 15.5.1): The inner mucosal layer which is built of transitional epithelium, the middle layer which consists of circular and longitudinal muscular fibers, and the outer adventitial sheath where the vessels run which are responsible for the blood supply of the ureter. This supply comes from a network of vessels with different origins: the upper part of the ureter receives its blood mainly from the renal arteries, the midportion from the aorta and the iliac vessels, and the lower part from the superior vesical, vaginal, middle hemorrhoidal, and the uterine arteries. Since this vascular source can vary, it is mandatory to perform ureteral dissection cautiously.
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Pfitzenmaier, J., Gilfrich, C., Haferkamp, A., Hohenfellner, M. (2007). Trauma of the Ureter. In: Hohenfellner, M., Santucci, R.A. (eds) Emergencies in Urology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-48605-3_19
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DOI: https://doi.org/10.1007/978-3-540-48605-3_19
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