Ureteral reimplantation for inadvertent ureteral injury during radical perineal prostatectomy.

Journal Article (Journal Article)

We report on a rare case of bilateral ureteral injury in a patient undergoing radical perineal prostatectomy and a unique approach to his treatment. Potential risk factors for such an injury include previous prostatic cryotherapy, transurethral resection, or radiotherapy. Intraoperative recognition of the injury is paramount and may be facilitated by intravenous administration of indigo carmine. While distal ureter ligation, urinary diversion, and delayed ureteroneocystostomy may be regarded as standard management for ureteral injury during radical perineal prostatectomy, this case was treated with a primary bilateral transperineal ureteral reimplantation. Although technically challenging, the described case demonstrates the feasibility and success of such an approach.

Full Text

Duke Authors

Cited Authors

  • Crisci, A; Young, MD; Murphy, BC; Paulson, DF; Dahm, P

Published Date

  • November 2003

Published In

Volume / Issue

  • 62 / 5

Start / End Page

  • 941 -

PubMed ID

  • 14624927

Electronic International Standard Serial Number (EISSN)

  • 1527-9995

Digital Object Identifier (DOI)

  • 10.1016/s0090-4295(03)00683-6


  • eng

Conference Location

  • United States