Injuries of ureteral lower segment and the bladder during surgery

The injuries of the lower ureteral segment and the bladder are relatively frequent during gynaecological and surgical interventions in the small pelvis. The cases of 25 ureteral injuries observed in the period between 1976 and 1985 are now evaluated. The majority of them are complications arising due to gynaecological operations. Attention is drawn to the rise in the number of ureteral lesions connected with the progress of colic and vascular surgery. The aim of reconstructive surgical solutions is to restitute function and to attempt to find the organ-saving possibilities. Bladder injuries occur most often during transurethral operations (TUR). The nature of artifactual injuries associated with TUR and the ways they are inflicted were analysed on the basis of a study of about 1000 cases.