Ureteric obstruction after radical hysterectomy |
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Authors: | A.A.W. Peters,G.M. Beekman,P.J. Bode,G.R. Dohle,A. Snijders-Keilholz,& J.B. Trimbos |
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Affiliation: | Departments of Gynecology,;Radiology,;Urology and;Clinical Oncology-Radiotherapy, Leiden University Medical Center, the Netherlands |
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Abstract: | Two patients with invasive carcinoma of the cervix treated with radical hysterectomy developed total unilateral ureteric obstruction postoperatively. A temporary percutaneous nephrostomy was inserted. Because both patients needed adjuvant radiotherapy, intended reimplantation of the ureter was postponed. During this period spontaneous passage through the ureter was observed after 5 and 14 weeks, respectively. It is emphasized that a 'wait and see' policy may be justifiable in the case of ureteric obstruction of unclear etiology after radical hysterectomy for at least 3 months, as long as renal function is preserved by percutaneous nephrostomy drainage of the affected kidney side. |
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Keywords: | cervical cancer radical hysterectomy ureteric obstruction |
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