BAUS Ureteric Injury Audit

Name of person submitting data* This field is required.

Audit Submission ID

Did a ureteric injury occur at your hospital inclusive over 1st February 2022-30th September 2022?

YESNO

Sex of Patient

Male

Female

Patient age at presentation

Date of Injury

Date

Date Injury first recognised (N.B. may be same as date of injury or later)

Date

Urology Sub-specialisation of consultant surgeon on call (First Responder)

FNUU

Andrology

Uro-oncology

General urology

General urology with specialist interest in FNUU

Endourology

Urology SpR / Fellow

Which Hospital did the injury occur in?Please select region and then hospital

Which Hospital are you based?Please select region and then hospital

At this hospital did definitive or temporising management occur?

Temporising

Definitive

None

If definitive, was this done by the first responder

YESNO

If None / Temporising, which specialty performed definitive intervention

Urology

Gynaecology

Colorectal

Obstetrics

Vascular

Other

If None / temporising, was the case referred to another hospital

YESNO

Hospital case referred toPlease select region and then hospital

At this hospital did definitive and / or temporising management occur?

Temporising

Definitive

None

Laterality

Left

Right

Bilateral

Location of pathology / injury - Left Side

Distal (below SI joint)

Mid (SI joint)

Upper

Location of pathology / injury - Right Side

Distal (below SI joint)

Mid (SI joint)

Upper

Was the ureter already stented (before injury)

YESNO

Aetiology of injury

Iatrogenic

Trauma

Unclear

Aetiology of injury - Iatrogenic

Suture / clip ligation

Transection (partial or complete)

Diathermy injury (intra-op or delayed)

Avulsion (eg during ureteroscopy)

If iatrogenic, what specialty was involved

Colorectal

Gynaecology

Obstetrics

Vascular

Urology

Other

If Trauma what was the mechanism of injury

Blunt or penetrating

Unknown or not clear

Left side - what first intervention occurred?If more than one procedure occurred during the first intervention at the same time please select ‘other’

If Other - what was the intervention (1st Left)

Date of first interventionLeft

Date

If first intervention re-implantation, what type (Left)

Refluxing

Non-Refluxing

Urological trainee present at first intervention (left)

None

Supervisor scrubbed

Supervisor Unscrubbed

Assisting

Observing

Performed

Right side - what first intervention occurred?If more than one procedure occurred during the first intervention at the same time please select ‘other’

If Other - what was the intervention (1st Right)

Date of first interventionRight

Date

If first intervention re-implantation, what type (Right)

Refluxing

Non-Refluxing

Urological trainee present at first intervention (right)

None

Supervisor scrubbed

Supervisor Unscrubbed

Assisting

Observing

Performed

Left side what second intervention occurred?If more than one procedure occurred during the first intervention at the same time please select ‘other’

If Other - what was the intervention (2nd Left)

Date of second interventionLeft

Date

If second intervention re-implantation, what type (Left)NEXT

Refluxing

Non-Refluxing

Urological trainee present at second intervention (left)

None

Supervisor scrubbed

Supervisor Unscrubbed

Assisting

Observing

Performed

Right side what second intervention occurred?If more than one procedure occurred during the first intervention at the same time please select ‘other’

If Other - what was the intervention (2nd Right)

Date of second interventionRight

Date

If second intervention re-implantation, what type (Right)

Refluxing

Non-Refluxing

Urological trainee present at second intervention (right)

None

Supervisor scrubbed

Supervisor Unscrubbed

Assisting

Observing

Performed

Left side what third intervention occurred?If more than one procedure occurred during the first intervention at the same time please select ‘other’

If Other - what was the intervention (3rd Left)

Date of third interventionLeft

Date

If third intervention re-implantation, what type (Left)

Refluxing

Non-Refluxing

Urological trainee present at third intervention (left)

None

Supervisor scrubbed

Supervisor Unscrubbed

Assisting

Observing

Performed

Right side what third intervention occurred?If more than one procedure occurred during the first intervention at the same time please select ‘other’

If Other - what was the intervention (3rd Right)

Date of third interventionRight

Date

If third intervention re-implantation, what type (Right)

Refluxing

Non-Refluxing

Urological trainee present at third intervention (right)If more than one procedure occurred during the first intervention at the same time please select ‘other’

None

Supervisor scrubbed

Supervisor Unscrubbed

Assisting

Observing

Performed

Clavien Dindo classification of complications related to ureteric injury management only

None / Grade I / Grade II

Grade IIIa - requiring intervention under local anaesthetic

Grade IIIb - requiring intervention under general / regional anaesthetic

Grade IVa - single organ dysfunction (e.g. dialysis)

Grade IVb - multi organ dysfunction

Grade V - death

What was the exact Clavien Dindo complication

Radiology measure and outcome at 3 to 6 months(tick all that apply)

None

Mag 3 renogram

MRI

Nephrostogram

Drainage of kidney satisfactory

YESNO

If Drainage not satisfactory what further intervention(s) occurred?

Would you like to enter another case?

YESNO