Lesions of the urinary organs during abdominal and vaginal hysterectomy

the lesions of the urinary organs of a iatrogenic origin correlated to hysterectomy surgery almost exclusively concern the ureter and the bladder. Lesions of the urinary organs caused during abdominal and vaginal hysterectomy for benign pathology were studied at the 1st Clinic of Obstetrics and Gynaecology of the University of Catania between 1st January 1989 and 31st December 2000. During this period 3,138 hysterectomies were performed, of which 2,765 (88.11%) abdominally and 373 (11.89%) vaginally. Altogether there were 11 (0.35%) iatrogenic lesions of the urinary excretory organs and these included 5 (0.15%) ureteral lesions and 6 (0.19%) bladder lesions. There were no lesions of the urethra. In 2,765 abdominal hysterectomies 4 (0.14%) ureteral lesions and 4 (0.14%) bladder lesions occurred, and in 373 vaginal hysterectomies one (0.27%) ureteral lesion and 2 (0.54%) bladder lesions occurred. In all cases, after adequate treatment the urinary organs healed completely.