[When to suspect ureteral injury?]

Ureteral injuries associated with treatment procedures have been in constant rise. Laparoscopic operations within the lesser pelvis constitute their most common cause. Most injuries are detected only after days or weeks after the operation, with only one fifth being noted during the operation. In the worst case, ureteral injury may lead to complete renal failure. The earlier the injury is detected and treated by stenting or an open operation, the better is the treatment outcome. The ureter must be either stented or repaired by an open operation in order to repair the injury.