[Lesion of the ureteral wall caused by gynecologic surgeries from the urologic viewpoint].

It is reported on 31 ureteral strictures in 29 female patients after abdominal or vaginal, simple or complex hysterectomy. In 21 cases the ureteral obstruction was combined with an external urinary fistula. In 11 cases it was noted a spontaneous receding of the ureteral obstruction respectively a sanitation of the urinary fistula without stenosis. The general renal protection in form of a nephrostomy as an important component of therapy is recommended. Directions for the medical care of intraoperatively diagnosed ureteral lesions are given.