This protocol addresses ureteral injuries in which the injury was not recognised at the time of the original operation — whether following blunt trauma, penetrating trauma, or iatrogenic injury. Delayed diagnosis is the predominant presentation in most cases of blunt and iatrogenic ureteral trauma, and it requires a distinct management pathway from injuries identified intraoperatively.
The first step in most delayed-diagnosed ureteral injuries involves an endo-urological approach centred on internal stenting. The access route and specific technique depend on the individual case. Complete regimen details — including the full decision algorithm and technical considerations — are available via the structured protocol.