An approach to urological injuries associated with pelvic surgery

Abstract

Injuries during pelvic floor surgery may involve the ureter, bladder and urethra. Detailed knowledge of the anatomy of these
structures and the application of this knowledge during surgery, together with appropriate pre-operative imaging will help to
reduce morbidity from urological injuries during pelvic floor surgery. This article discusses the anatomy of the ureter, bladder
and urethra in relation to injuries to these structures during pelvic surgery and gives an approach to their management. In
addition, the article places emphasis on the need for recognition of injuries at the time of surgery and for having a high degree
of suspicion of urological injuries in the post-operative period. Diagnostic measures when ureteric injuries are suspected are
also discussed .It should be remembered however that injuries to these structures may be both functional and anatomical; this
article will concentrate on the anatomical injuries.

Obstetrics & Gynaecology Forum Vol. 17 (3) 2007: pp. 64-69