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Urinary tract injury in gynecologic surgery: Identification and management

Donna Gilmour, MD, FRCSC
Section Editors
Linda Brubaker, MD, FACOG
Howard T Sharp, MD
Deputy Editor
Kristen Eckler, MD, FACOG


Urinary tract injury is known complication of gynecologic surgery. Intraoperative identification of injury permits prompt repair and potentially lessens postoperative sequelae including patient morbidity and cost. Delayed diagnosis of urinary tract injuries can result in complications beyond the site of the injury, such as genitourinary fistula formation or renal injury.

The evaluation and management of urinary tract injury in gynecologic surgery are reviewed here. Prevention of urinary tract injury and issues related to urinary tract injuries during advanced gynecologic surgery and obstetric procedures are reviewed separately.

(See "Urinary tract injury in gynecologic surgery: Prevention".)

(See "Surgical management of stress urinary incontinence in women: Retropubic midurethral slings", section on 'Urinary tract complications'.)

(See "Cesarean delivery: Surgical technique", section on 'Bladder flap'.)

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Literature review current through: Nov 2017. | This topic last updated: Dec 05, 2017.
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