n Obstetrics and Gynaecology Forum - An approach to urological injuries associated with pelvic surgery : review article




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.


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