Qadeer Ahmad Tariq, Mazhar Abbass Haidry, Naveed Anwar.
Management of Iatrogenic Lower Ureteric Injury Following Gynaecological Surgery.
Pak J Med Health Sci Jan ;8(3):625-7.

Aim: To determine the success of ureteroneocystostomy by modified Lich technique in the management of iatrogenc lower ureteric injury following gynaecological surgery. Methods: This descriptive study was carried out in the Department of Urology, Allama Iqbal Medical College/Jinnah Hospital, Lahore during the period from June 2012 to December 2012. A total of 50 female patients with lower ureteric injury wee included in the study. Results: The mean age of the patients was 36.68 + 9.01 years and range was 22-50 years. Out of 50 patients, 32(64%) had history of hysterectomy. Diabetes mellitus was found in 6(12%) patients. Postoperative leakage of urine from vagina and from wound among 0% patients and success of surgery at 10th postoperative day was seen in 45(90%) patients. Conclusion: The success rate of ureteroneocystostomy by modified Lich technique is higher and is recommended among patients with lower iatrogenic ureteric injury after gynaecological surgery.

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