{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:43:13Z","timestamp":1793605393429,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"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":["BJU International"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically evaluate management strategies and associated outcomes of iatrogenic ureteric injuries, focusing on clinical success, renal unit loss, and the need for subsequent endoscopic or reconstructive procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>A pre\u2010registered protocol (CRD420251184018) guided a comprehensive search of PubMed and EMBASE databases. Observational studies reporting outcomes of \u226520 patients treated for iatrogenic ureteric injury with complete data on follow\u2010up were included. Risk of bias was assessed using Risk Of Bias In Non\u2010randomised Studies of Interventions (ROBINS\u2010I). Random\u2010effects meta\u2010analysis with PLOGIT transformation was applied, stratifying results by treatment type and timing. Meta\u2010regression examined the association of treatment modality with outcomes adjusting for the timing of reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 30 studies were included (1517 patients), all retrospective and characterised by substantial heterogeneity in definitions and follow\u2010up practices. ROBINS\u2010I indicated serious risk of bias in most domains. The pooled clinical success rate was 87% (95% confidence interval [CI] 80\u201391%), with high heterogeneity\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200976.0% due to different follow\u2010up protocols, success outcomes, type and timing of management. Studies dominated by reconstructive procedures (15 studies) had higher success (91%, 95% CI 84\u201395%), than those primarily using endoscopic techniques (six studies; 66%, 95% CI 58\u201373%). Renal unit loss occurred in 2.3% (95% CI 1.5\u20133.6%). No differences in loss of renal unit were found. Additional endoscopic interventions were required in 3% (95% CI 2\u20134%) and further reconstructive surgery in 5% (95% CI 3\u20139%). Meta\u2010regression showed endoscopic index management was associated with lower odds of success (odds ratio [OR] 0.14, 95% CI 0.05\u20130.40) and higher need for further reconstruction (OR 5.64, 95% CI 1.61\u201319.8).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Across retrospective and heterogeneous studies, reconstructive\u2010dominant management of iatrogenic ureteric injuries was associated with higher clinical success compared with endoscopic\u2010dominant approaches, while renal unit loss remained uncommon. Endoscopic management was feasible in selected cases but was more frequently followed by additional endoscopic or reconstructive interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70275","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T12:32:41Z","timestamp":1776947561000},"page":"45-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Iatrogenic ureteric injuries after abdominal surgery: a\u00a0systematic review and meta\u2010regression from the European Association of Urology Endourology Section"],"prefix":"10.1111","volume":"138","author":[{"given":"Pietro","family":"Scilipoti","sequence":"first","affiliation":[{"name":"Endolase Lab, GRC20\u2010Sorbonne Unversity, PIMM\u2010Arts et M\u00e9tiers Paris Tech  Paris France"},{"name":"Service d\u2019Urologie, Tenon H\u00f4pital  Paris France"},{"name":"Department of Experimental Oncology\/Unit of Urology URI, IRCCS Ospedale San Raffaele  Milan Italy"},{"name":"Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Nannola","sequence":"additional","affiliation":[{"name":"Endolase Lab, GRC20\u2010Sorbonne Unversity, PIMM\u2010Arts et M\u00e9tiers Paris Tech  Paris France"},{"name":"Service d\u2019Urologie, Tenon H\u00f4pital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5593-5995","authenticated-orcid":false,"given":"Federico","family":"Zorzi","sequence":"additional","affiliation":[{"name":"Endolase Lab, GRC20\u2010Sorbonne Unversity, PIMM\u2010Arts et M\u00e9tiers Paris Tech  Paris France"},{"name":"Service d\u2019Urologie, Tenon H\u00f4pital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1744-8913","authenticated-orcid":false,"given":"Carlos 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