{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T06:04:43Z","timestamp":1784181883860,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Ureteral injuries during gynecologic surgery are uncommon (0.1%\u20132.5%) but may result in significant morbidity, including strictures, hydronephrosis and the need for additional interventions. This study evaluates the effectiveness of retrograde endoscopic management in treating iatrogenic ureteral injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted on women diagnosed with ureteral injury post\u2010gynecologic surgery between 2010 and 2024 at a single institution. Patients were categorized into two groups: those treated with retrograde endoscopic interventions and those managed with non\u2010endoscopic approaches (percutaneous nephrostomy and\/or surgical reconstruction). The endoscopic group was further divided into early (&lt;3\u2009months post\u2010injury) and late interventions. Outcomes assessed at \u22653\u2009months of follow\u2010up included treatment success, long\u2010term complications and the need for further interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 42 patients, 29 (69%) underwent endoscopic treatment and 13 (31%) received non\u2010endoscopic management. Among endoscopically treated patients, early intervention achieved an 80% success rate, significantly higher than the 33% observed with late intervention (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). All non\u2010endoscopic patients initially received percutaneous nephrostomy, and 12 (92.3%) required definitive surgical repair. Endoscopic treatment was associated with reduced operative time and shorter hospital stays. Given the rarity of ureteral injuries, the cohort represents one of the largest single\u2010centre experiences focused on this specific population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early retrograde endoscopic management is a safe and effective approach for treating ureteral injuries after gynecologic surgery. Timely diagnosis and intervention significantly improve outcomes. Non\u2010endoscopic patients were more complex cases, often unsuitable for endoscopy, which may account for outcome differences. Intraoperative retrograde ureterography and stenting should be considered whenever there is suspicion of ureteric injury, whereas postoperative endoscopic realignment or endoscopic management of ureteric strictures should be performed by appropriately trained urologists. Further prospective studies with larger cohorts and longer follow\u2010up are warranted to refine optimal clinical pathways and long\u2010term management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70160","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T05:54:21Z","timestamp":1770875661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic management of ureteral injuries arising from gynecologic procedures"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0299-7586","authenticated-orcid":false,"given":"Ari","family":"Luder","sequence":"first","affiliation":[{"name":"The Department of Urology Sheba Medical Center  Ramat Gan Israel"},{"name":"Affiliated With the Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asaf","family":"Shvero","sequence":"additional","affiliation":[{"name":"The Department of Urology Sheba Medical Center  Ramat Gan Israel"},{"name":"Affiliated With the Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roey","family":"Mashiach","sequence":"additional","affiliation":[{"name":"Affiliated With the Faculty of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"The Department of Obstetrics and Gynecology Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohar A.","family":"Dotan","sequence":"additional","affiliation":[{"name":"The Department of Urology Sheba Medical Center  Ramat Gan Israel"},{"name":"Affiliated With the Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Kleinmann","sequence":"additional","affiliation":[{"name":"The Department of Urology Sheba Medical Center  Ramat Gan Israel"},{"name":"Affiliated With the Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1558822"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002414"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0754"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001\u20106349.2004.00450.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-022-06800-0"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0785"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756287214526767"},{"issue":"2","key":"e_1_2_9_9_1","first-page":"128","article-title":"Late presentation of ureteric injuries after laparoscopic gynecologic surgery","volume":"11","author":"Hammad FT","year":"2000","journal-title":"Int Urogynecol J"},{"issue":"3","key":"e_1_2_9_10_1","first-page":"409","article-title":"Iatrogenic ureteral injury after gynecologic surgery: A ten\u2010year review","volume":"26","author":"Smith AP","year":"2019","journal-title":"J Minim Invasive Gynecol"},{"key":"e_1_2_9_11_1","unstructured":"University of Wisconsin Department of Urology.Complications of Recognized and Unrecognized Iatrogenic Ureteral Injury. Available at:https:\/\/urology.wisc.edu. Accessed June 2025."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.11.015"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2018.01.008"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.156934"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000847"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-021-02863-6"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14784"},{"key":"e_1_2_9_18_1","first-page":"112","article-title":"Comparison of endoscopic and open surgical management of iatrogenic ureteral injuries: A multicenter retrospective study","volume":"41","author":"Cestari A","year":"2022","journal-title":"Eur Urol Open Sci"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bco2.70160","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T05:12:17Z","timestamp":1784178737000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/bco2.70160"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70160","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-09-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70160"}}