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Difficulties in Laparoscopic Ureteral and Bladder Reconstruction

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Abstract

Ureteral reconstruction may be required in the setting of iatrogenic injury to the ureter, infectious strictures from tuberculosis, or schistosomiasis, endometriosis, trauma, or malignancy. Injury to the ureter is most commonly iatrogenic in nature. These occur most commonly in gynecological, colorectal, or urological procedures. Mechanism of injury may include transection, ligation, cautery injury, or devascularization. If not recognized and repaired intraoperatively, patients may present postoperatively with a urine leak or fistula.


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