Left Ureteral Rupture Post Hyterectomy et causa Adenomyosis and Endometrial Cysts


  • Ghania Alizar Medical Faculty, Lampung University
  • Nabila Quinsy Chiqita
  • Rodiani -




Ureteral Rupture, Hysterectomy, Adenomyosis, Endometrial cysts


Adenomyosis is a benign gynecological disorder that invades endometrial tissue into the myometrial lining and suspected as one of the causes of subfertility in women. Adenomyosis usually diagnosed in the 4-5th decade of life, at the end of the reproductive period and perimenopause, but currently many women of reproductive age already suffer from adenomyosis, several studies suggest that this is influenced by lifestyle changes. A 45-year-old female patient was admitted to the emergency department with complaints of difficulty urinating after a hysterectomy 8 days before admission to the hospital for indications of adenomyosis and endometrial cysts. In the anamnesis, the patient complained of only a small amount of fluid coming out of the drainage and urinary catheter and 4 days before admission to the hospital there was no flow of urine coming out of the urinary catheter. This patient then underwent ureteroscopy and found signs of left 1/3 distal ureteral rupture. Operative management consists of neoimplantation and placement of a Double J stent in the left ureter. After 4 days postoperative, the patient was allowed to go home.


terhadap kejadian infertilitas. Jurnal Kedokteran Nanggroe Medika. 2020; 3(4): 38-44.

Wiweko B, et al. Luaran operasi konservatif bagi penderita adenomiosis. Indones J OBstet Gynecol. 2016; 4(4): 198-202.

Djuwantono T, Permadi W, Ritonga M A. Bandung controversies and consensus in obstetric & gynecology. 2011. Jakarta: CV Sagung Seto.

Rajuddin, Jacoeb T Z. Penanganan adenomiosis dengan reseksi laparotomic pada perempuan infertile (pengalaman pada 32 kasus). Maj Obstet Ginekol Indonesia. 2008; 32(1): 22-25.

Fitrina M, Bayuaji H, Madjid T H, Armawan E. Karakteristik pasien adenomiosis dengan gambaran ultrasonografi di rumah sakit dr. hasan sadikin bandung periode 2015-2016. Obgynia. 2018; 1(1): 35-39.

Khan K N, Fujishita A, Mori T. Pathogenesis of human adenomyosis: current understanding and its association with infertility. Journal of Clinical Medicine. 2022; 11: 1-27.

Kaur K K, Allahbadia G, Singh M. Medical treatment in uterine adenomyosis management – a systematic review. Archives of Clinical Case Studies and Case Reports. 2021; 2(3): 189-198.

Naftalin J, et al. How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic. Journal Human Reproduction Oxford Academic. 2012; 27(12): 3432–3439.

Gordts S, Grimbizis G, Campo R. Symptoms and classification of uterine adenomyosis, including the place of hysteroscopy in diagnosis. Journal Fertil Steril. 2018; 109(3):380-388.

Yavuzcan A, Başbuğ A, Baştan M, Çağlar M, Özdemir İ. The effect of adenomyosis on the outcomes of laparoscopic hysterectomy. Journal Turk Ger Gynecol Assoc. 2016; 17(3):150.

Dessouky R, Gamil S, Nada M, Mousa R, Libda Y. Management of uterine adenomyosis: current trends and uterine artery embolization as a potential alternative to hysterectomy. Journal Insights Imaging. 2019; 10(1):48.

Rajuddin, Jacoeb T. Penanganan Adenomiosis dengan Reseksi Laparotomik pada Perempuan Infertil (Pengalaman pada 32 kasus). 2008; 32(1):22-25.

Manoucheri E, Cohen S, Sandberg E, Kibel A, Einarsson J. Ureteral injury in laparoscopic gynecologic surgery. Journal Rev Obstet Gynecol. 2012; 5(2): 106-111.

Adelman M, Bardsley T, Sharp H. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. Journal Minim Invasive Gynecol. 2014; 21(4):558-66.

Chao H, et al. Management of urinary tract injuries following total hysterectomy: A single-hospital experience. Journal Urological Science. 2018; 29(1):12-19.

Santosa K, Tirtayasa P, Oka A. Urological complications following obstetricgynecologic procedures at Sanglah General Hospital, Bali-Indonesia. Bali Medical Journal. 2018;7(2):480-484.

Hadibrata E, et al. Reseksi Anastomosis Uretero-ureteral Pada Pasien Striktur Total Ureter Proksimal: Laporan Kasus. Journal Kedokteran Universitas Lampung. 2019; 3(2):283-288.

Sriyono, Tarmono. Ureteral trauma profile in Soetomo Hospital January 2006-December 2011. Journal Urology University of Airlangga. 2014; 2(2):1-9.



How to Cite

Alizar, G., Chiqita, N. Q., & -, R. (2023). Left Ureteral Rupture Post Hyterectomy et causa Adenomyosis and Endometrial Cysts. Medical Profession Journal of Lampung, 13(2), 182-187. https://doi.org/10.53089/medula.v13i2.650