Semin intervent Radiol 2015; 32(02): 195-208
DOI: 10.1055/s-0035-1549378
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Iatrogenic Urinary Tract Injuries: Etiology, Diagnosis, and Management

Anthony M. Esparaz
1  Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
,
Jeffrey A. Pearl
2  Department of Urology, Emory University, Atlanta, Georgia
,
Brian R. Herts
3  Department of Abdominal Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
,
Justin LeBlanc
4  Department of Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
,
Baljendra Kapoor
5  Department of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

Publication Date:
28 May 2015 (online)

Abstract

Iatrogenic injury to the urinary tract, including the kidneys, ureters, bladder, and urethra, is a potential complication of surgical procedures performed in or around the retroperitoneal abdominal space or pelvis. While both diagnostic and interventional radiologists often play a central and decisive role in the identification and initial management of a variety of iatrogenic injuries, discussions of these injuries are often directed toward specialists such as urologists, obstetricians, gynecologists, and general surgeons whose procedures are most often implicated in iatrogenic urinary tract injuries. Interventional radiologic procedures can also be a source of an iatrogenic urinary tract injury. This review describes the clinical presentation, risk factors, imaging findings, and management of iatrogenic renal vascular and urinary tract injuries, as well as the radiologist's role in the diagnosis, treatment, and cause of these injuries.