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Trauma of the Ureter

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Emergencies in Urology

Abstract

The ureter is a thick-walled narrow tube measuring approximately 25–30 cm in length and varying in diameter from 1 to 10 mm, in cases of urinary obstruction even larger. It has three different layers (Fig. 15.5.1): The inner mucosal layer which is built of transitional epithelium, the middle layer which consists of circular and longitudinal muscular fibers, and the outer adventitial sheath where the vessels run which are responsible for the blood supply of the ureter. This supply comes from a network of vessels with different origins: the upper part of the ureter receives its blood mainly from the renal arteries, the midportion from the aorta and the iliac vessels, and the lower part from the superior vesical, vaginal, middle hemorrhoidal, and the uterine arteries. Since this vascular source can vary, it is mandatory to perform ureteral dissection cautiously.

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Authors and Affiliations

  1. Department of Urology, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    J. Pfitzenmaier MD (Associate Professor)

  2. Department of Urology, University of Heidelberg, Medical School, 69120, Heidelberg, Germany

    Ch. Gilfrich MD, A. Haferkamp MD (Associate Professor of Urology Senior Faculty) & M. Hohenfellner MD (Professor and Chairman)

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  1. J. Pfitzenmaier MD
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  2. Ch. Gilfrich MD
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  3. A. Haferkamp MD
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  4. M. Hohenfellner MD
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Editor information

Editors and Affiliations

  1. Department of Urology, Heidelberg University, Medical School, 69120, Heidelberg, Germany

    Markus Hohenfellner MD (Professor and Chairman) (Professor and Chairman)

  2. Detroit Receiving Hospital, 4160 John R., Suite 1017, Detroit, MI, 48201, USA

    Richard A. Santucci MD (Chief of Urology and Associate Professor) (Chief of Urology and Associate Professor)

  3. Wayne State University School of Medicine, 4160 John R., Suite 1017, Detroit, MI, 48201, USA

    Richard A. Santucci MD (Chief of Urology and Associate Professor) (Chief of Urology and Associate Professor)

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© 2007 Springer-Verlag Berlin Heidelberg

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Pfitzenmaier, J., Gilfrich, C., Haferkamp, A., Hohenfellner, M. (2007). Trauma of the Ureter. In: Hohenfellner, M., Santucci, R.A. (eds) Emergencies in Urology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-48605-3_19

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  • DOI: https://doi.org/10.1007/978-3-540-48605-3_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-48603-9

  • Online ISBN: 978-3-540-48605-3

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