Category: Stones: Ureteroscopy

VS12-3 - Rendezvous Procedure in a Patient with Iatrogenic Ureteric Injury

Sat, Sep 22
2:00 PM - 4:00 PM

Introduction & Objective : A 42 year old lady with placenta accreta underwent a complicated Caesarean section, for which she required emergency hysterectomy and 18units of blood transfusion. The patient obtained a ureteric injury. Here we show that in high risk patients, a Rendezvous procedure may be a good initial procedure compared to major open surgery,


Methods : It was felt that the patient was at a high risk of complciations if she were to undergo open surgery due to her previous extensive blood loss, The other optons were to leave a nephrostomy in and undergo reconstruction in 3 months time or undergo a minimally invasve Rendezvous procedure. Through the video, we demonstrate the method through which a Rendezvous procedure is performed.


Results : We demonstrate that in this particular case, a Rendezvous procedure was successful in treating the ureteric injury and restoring renal function. Gazzon et al (2016) highlights that in over 50% of patients undergoing a Rendezvous procedure for a ureteric injury or detachment, no further intervention was required in the long term.


Conclusions : The video demonstrates that a Rendezvous procedure is a good alternative to major open surgery and should be considered initially in certain high risk patients with ureteric injury,

Anna Shahid

FY1 Doctor in Urology
Department of Urology, Whipps Cross University Hospital, London
London, England, United Kingdom

Siobhan C. Williams

FY1 Doctor in Urology
Department of Urology, Whipps Cross University Hospital, London
London, England, United Kingdom

Dr Siobhan Williams, MBBS, BSc Hons.
Foundation year doctor in Barts Health National Health Service Trust.

Umer H. Siddique

FY1 Doctor in Urology
Department of Urology, Whipps Cross University Hospital, London
Ilford, England, United Kingdom

Dr Umer Hayat Siddique BMBS (Hons), BMedSci, BSc (Hons) is a foundation doctor training in London's North East Thames Foundation School. Having worked in the Urology department at Whipps Cross Hospital in London, a part of the Barts Health NHS Trust, he is currently based in Intensive Care Medicine in Barking, Havering and Redbridge University Hospitals NHS Trust.

Aleena Tariq

London, England, United Kingdom

Helena Gresty

Specialist Registrar
Whipps Cross University Hospital
London, England, United Kingdom

Sandeep Pathak

Consultant Radiologist
Whipps Cross University Hospital
London, England, United Kingdom

Stuart Graham

Consultant
Department of Urology, Whipps Cross University Hospital, London
London, England, United Kingdom

Pallavi Pal

Consultant
Department of Urology, Whipps Cross University Hospital, London
London, England, United Kingdom