Introduction. Urogenital trauma accounts for 3–10% of all trauma cases. Modern diagnostic tools and less invasive technologies have shifted the paradigm of management of the patients with urogenital system injuries, reducing the need for open surgery. Endovideosurgery has emerged as a viable alternative.
Objective of the study. To determine the place of endovideosurgery in treating urogenital trauma.
Materials and methods. This retrospective study included 37 patients who received treatment at the I.I. Dzhanelidze Research Institute of Emergency Medicine between 2009 and 2023 with urogenital system injuries. Furthermore, the treatment outcomes of 5 patients from the V.A. Almazov National Medical Research Center who underwent reconstructive surgery for intraoperative urotrauma between 2021 and 2024 were analyzed. All patients received treatment using an endovideosurgical approach.
Results. At the I.I. Dzhanelidze Research Institute of Emergency Medicine the following surgical interventions were performed on 37 patients with urogenital trauma: laparoscopic repair of intraperitoneal bladder rupture (n=34), laparoscopic repair of combined bladder rupture (n=2), and laparoscopic excision of a ruptured renal cyst (n=1). No postoperative complications or mortality were observed. At the V.A. Almazov National Medical Research Center laparoscopic ureteroneocystostomy (n=2), robot-assisted ureteroureterostomy (n=1), and robot-assisted angioplasty of damaged accessory renal vessels (n=2) were performed. No postoperative complications or mortality were observed in these patients either.
Conclusion. Endovideosurgery is emerging as an alternative to traditional open surgery in the management of urogenital trauma. For intraperitoneal and combined bladder ruptures, as well as ureteral injuries, reconstructive surgery via an endovideosurgical approach is considered optimal. The applicability of endovideosurgery to renal and posterior urethral injuries remains a promising area requiring further investigation.
