ABSTRACT

The anatomical proximity of the colon rectal to the urological system makes the involvement of the urological system by colorectal pathology and vice versa common. Therefore, colorectal surgeons and urologists frequently work together for the treatment of pathology that might involve both organs or for the prevention and repair of potential injuries that can occur during colorectal or urological procedures. Injuries to the genitourinary system during operations involving the colon and rectum are rare but can have significant consequences for the patient. Surgeons undertaking procedures should be familiar with the anatomy of the genitourinary structures. The mainstay of preventing ureteric injuries remains meticulous dissection, a conscientious surgeon and an intimate knowledge of anatomy. Anuria will occur if both ureters are ligated or the occluded ureter drains a solitary kidney. In anuria from acute tubular necrosis, there is nearly always a latent interval during which a small volume of rather dark urine rich in granular casts is passed before complete anuria.