[Urologic management of ureteral iatrogenic lesions].

INTRODUCTION Iatrogenic trauma of the ureter can occur following pelvic, abdominal or retroperitoneal surgery and during laparoscopy or ureteroscopy. MATERIAL AND METHODS From 1988 to 1998, 30 patients with 34 iatrogenic ureteric injuries were treated in our department. RESULTS Patients were referred after a mean of 13 days. Endourological treatment was performed as first-line management in 76% of cases of ureteric trauma, with a 71% immediate success rate. In the case of failure, surgery was performed in 78% of cases, with an 83% success rate. Seven patients required nephrectomy and one patient died. CONCLUSION First-line endourological treatment gives good results. An early diagnosis remains an essential prerequisite to avoid serious complications.