Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109-5030, USA.
Abdom Radiol (NY). 2024 Nov;49(11):3987-4002. doi: 10.1007/s00261-024-04384-8. Epub 2024 Jun 4.
A growing number of treatments for genitourinary diseases can result in various iatrogenic complications. Multimodality imaging in the post-procedural setting is essential for early and accurate diagnosis to limit morbidity and mortality. We review common and uncommon treatment-induced pathologies affecting the genitourinary system via a case-based approach. We illustrate notable complications affecting the kidneys, ureters, bladder, and urethra induced by percutaneous procedures, external beam radiation, immunotherapy, laparoscopic/robotic pelvic surgery, and intravesicular BCG. Finally, we provide guidance on optimal imaging techniques for diagnosis and highlight the role of image-guided interventions for mitigation of complications.
越来越多的泌尿生殖系统疾病的治疗方法可导致各种医源性并发症。在术后情况下，多模态影像学检查对于早期、准确的诊断至关重要，有助于降低发病率和死亡率。我们通过病例分析的方法，回顾了影响泌尿生殖系统的常见和不常见的治疗相关病变。我们展示了经皮操作、外照射、免疫治疗、腹腔镜/机器人盆腔手术和膀胱内卡介苗等方法引起的、累及肾脏、输尿管、膀胱和尿道的显著并发症。最后，我们为诊断提供了最佳成像技术的指导，并强调了影像引导介入治疗在减轻并发症方面的作用。
