ABSTRACT

Ureteric injuries at the time of gynaecological surgery occur infrequently, with reported rates of 0.24-0.4%. Gynaecological disease often involves one or both ureters. Complex pelvic surgery and laparoscopic surgery may be associated with an even higher incidence. The reported incidence may be low, as many ureteric injuries are not recognized or reported. Ureteric injuries are the most common complication of gynaecological surgery leading to litigation, accounting for 17% of non-obstetrical legal actions initiated against obstetricians and gynaecologists.