Suture entrapment and secondary ureteral obstruction

During the 6-year period ending in 1988, suture entrapment and secondary postoperative ureteral obstruction occurred in 18 (0.33%) of the 5379 patients who underwent major pelvic operations for benign conditions. Sixteen cases occurred after vaginal surgery and two after abdominal hysterectomy. Plac...

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Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 164; no. 6 Pt 1; p. 1513
Main Authors Stanhope, C R, Wilson, T O, Utz, W J, Smith, L H, O'Brien, P C
Format Journal Article
LanguageEnglish
Published United States 01.06.1991
Subjects
Female
Genital Diseases, Female - surgery
Humans
Nephrostomy, Percutaneous
Postoperative Complications
Reoperation
Stents
Sutures
Ultrasonography
Ureteral Obstruction - diagnostic imaging
Ureteral Obstruction - etiology
Ureteral Obstruction - surgery
Urography
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Summary:During the 6-year period ending in 1988, suture entrapment and secondary postoperative ureteral obstruction occurred in 18 (0.33%) of the 5379 patients who underwent major pelvic operations for benign conditions. Sixteen cases occurred after vaginal surgery and two after abdominal hysterectomy. Placement of the McCall suture or sutures for elevation of a bladder neck caused ureteral entrapment most frequently. Early diagnosis was facilitated by comparison of preoperative and postoperative serum creatinine levels. The mean change in serum creatinine level in patients with unilateral obstruction was an increase of 0.8 mg/dl. Treatment by either antegrade placement of ureteral stents or abdominal exploration with deligation or ureteroneocystotomy was successful in all cases. Retrograde placement of ureteral stents was unsuccessful.
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(91)91430-5