Ureteral injury and modern treatment methods.

Introduction. Ureteral injuries are rare and account for 1-3% of urinary tract trauma. In most cases, ureteral injuries are misdiagnosed. Delayed diagnosis of ureteral trauma leads to the development of post-traumatic complications and increases disability and mortality rates among patients. Materials and methods. Forty-four articles pertaining to ureteral injuries were reviewed. Data from these studies were compiled and analyzed. The world’s literature was searched through PubMed, Russian scientific electronic library eLibrary.ru, and Google Scholar search system. Results and discussion. Injury to the ureter is usually iatrogenic (75-80%). Currently, the expansion of indications for surgical interventions in the abdominal cavity and pelvic organs leads to an absence of tendency to decrease ureteral injuries. In most cases, patients with ureteral injuries require surgical treatment. The primary goal for repair is to maintain renal drainage. Delayed treatment of ureteral trauma is associated with a high risk of complications, which lead to worsen the prognosis of the disease. Conclusion. Outcomes of the ureteral trauma depends on correct choice of cure strategy and timeliness of treatment. Delay in diagnosis and treatment is correlated with a poor prognosis. Management options must be made accounting an individual approach and depend on many indicators.