How to manage ureteral damage during hysterectomy?

Question

Hello doctor,

I have injured urinary bladder and the left side ureter during hysterectomy surgery by laparoscopy. Then, cystoscopy and nephrostomy were done. A catheter is used. Can surgery be done again?

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query and the reports of your surgery (attachment removed to protect patient identity). There has been an inadvertent injury to your left ureter and bladder. The details of the bladder injury are not clear in the summary given, but should most likely be repaired. The nephrostomy done will help in maintaining the function of the left kidney, until it is safe to do surgery again. You will need surgery to repair the injury to the ureter, usually done after three to six weeks. The results of this surgery are usually very good when performed by a trained urologist. Once the surgery is successful, the nephrostomy can be removed.