Category: Stones: Ureteroscopy
VS12-3 - Rendezvous Procedure in a Patient with Iatrogenic Ureteric Injury
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,
- AS
Anna Shahid
– FY1 Doctor in Urology, Department of Urology, Whipps Cross University Hospital, London, London, England, United Kingdom - SW
Siobhan Williams
– FY1 Doctor in Urology, Department of Urology, Whipps Cross University Hospital, London, London, England, United Kingdom 
Umer Siddique
– FY1 Doctor in Urology, Department of Urology, Whipps Cross University Hospital, London, Ilford, England, United Kingdom- AT
Aleena Tariq
– London, England, United Kingdom - HG
Helena Gresty
– Specialist Registrar, Whipps Cross University Hospital, London, England, United Kingdom - SP
Sandeep Pathak
– Consultant Radiologist, Whipps Cross University Hospital, London, England, United Kingdom - SG
Stuart Graham
– Consultant, Department of Urology, Whipps Cross University Hospital, London, London, England, United Kingdom - PP
Pallavi Pal
– Consultant, Department of Urology, Whipps Cross University Hospital, London, London, England, United Kingdom