Radiologic images of retrograde ureterography before and after release of bilateral sacrospinous ligament fixation sutures
Autor: | Toby C. Chai, Harry W. Johnson, Toni Sylvester, Virginia Bond |
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Rok vydání: | 2012 |
Předmět: |
medicine.medical_specialty
Urology Ureterography Hydronephrosis urologic and male genital diseases Pelvic Organ Prolapse Fixation (surgical) Complete obstruction Ureteral injury medicine.ligament medicine Humans Aged Ligaments Pelvic floor reconstruction Sutures business.industry Sacrospinous ligament Obstetrics and Gynecology Urography Cystoscopy Distal ureter Surgery Ureterogram Creatinine Fluoroscopy Female Radiology Ureter business Ureteral Obstruction |
Zdroj: | Female pelvic medicinereconstructive surgery. 18(3) |
ISSN: | 2151-8378 |
Popis: | Ureteral injury or compromise can occur after pelvic floor reconstruction for prolapse. Therefore, it is routine to perform intraoperative urethrocystoscopy at end of the operative case to confirm ureteral patency. We show retrograde ureterogram before and after release of fixation sutures from bilateral sacrospinous ligament fixation performed for stage III vaginal prolapse. The fluoroscopic images presented are intended to help pelvic surgeons visualize what could occur during sacrospinous ligament fixation. Furthermore, this case report illustrates how angulation of the distal ureter, without complete obstruction, may result in renal compromise. |
Databáze: | OpenAIRE |
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