Management of Urinary Tract Injuries by Laparoscopy: Our Experience
Pandit Palaskar1, Arun Sanap1, Nandan Nagaonkar1
1Department of Obstetrics and Gynaecology, Endoworld Hospital, Chhatrapati Sambhajinagar, Maharashtra, India.
Gynecology and Minimally Invasive Therapy
|August 1, 2026
Summary
Laparoscopic surgery effectively manages urinary tract injuries, with all 25 patients achieving full recovery. Key risk factors include adhesions, prior C-sections, and endometriosis, with injuries often occurring during hysterectomy.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Gynecologic Surgery
Background:
- Urinary tract injuries (UTIs) are potential complications in gynecologic procedures.
- Identifying risk factors and understanding management options are crucial for patient outcomes.
Purpose of the Study:
- To investigate risk factors, clinical value, and outcomes of laparoscopic management for urinary tract injuries.
- To evaluate the effectiveness of laparoscopic techniques in treating various UTIs.
Main Methods:
- Retrospective cohort study of 25 patients with UTIs managed laparoscopically.
- Data collected from January 2015 to May 2023 at a tertiary care hospital.
- All procedures performed by a single, experienced surgeon.
Main Results:
- All 25 patients experienced complete recovery following laparoscopic management.
- Common risk factors identified: adhesions, previous lower segment cesarean section, and endometriosis.
- Injuries occurred during hysterectomy (most common) and cesarean section; specific repairs included bladder repair, ureteric catheterization, ureteric re-implantation, and vesicovaginal fistula repair.
Conclusions:
- Laparoscopic management of UTIs can achieve excellent outcomes with technical expertise.
- Thorough anatomical knowledge and meticulous surgical technique are vital for preventing and managing UTIs.
- Early identification and appropriate laparoscopic intervention minimize postoperative morbidity.
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