Iatrogenic ureteric and bladder injuries in obstetric and gynaecologic surgeries

ABSTRACT

Objective: To review iatrogenic ureteric and urinary bladder injuries from obstetric and gynaecological surgeries treated in the urology department analysing; ureteric anatomy; aetiologicfactors; diagnosis; treatment and outcomes. Design: A retrospective study. Setting: Institute of Urology; Kilimanjaro Christian Medical Center (KCMC); Moshi; Tanzania. Subjects: Twenty three women were treated for iatrogenic ureteric and bladder injuries secondary to obstetric and gynaecological procedures in the department of urology between June 1994 and July 2004. Results: Hysterectomy was the leading cause of ureteric injuries contributing to nine (47.4