692 results match your criteria Ureteral Injury During Gynecologic Surgery


Very Low Rates of Ureteral Injury in Laparoscopic Hysterectomy Performed by Fellowship-Trained Minimally Invasive Gynecologic Surgeons.

J Minim Invasive Gynecol 2022 Jun 9. Epub 2022 Jun 9.

Brigham & Women's Hospital, Division of Minimally Invasive Gynecologic Surgery, Harvard Medical School, Boston, MA.

Study Objective: The objective of this case series is to evaluate the rates of ureteral injury at the time of laparoscopic hysterectomy among high-volume fellowship-trained surgeons.

Design: A retrospective chart review was performed, evaluating laparoscopic hysterectomy cases between 2009-2019 performed exclusively by fellowship-trained surgeons.

Setting: Division of Minimally Invasive Gynecologic Surgery (MIGS) at the Brigham & Women's Hospital and Brigham & Women's Faulkner Hospital, a Harvard Medical School teaching hospital in Boston. Read More

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Cystoscopic-guided Robotic Resection of Bladder Trigone Endometriosis Nodule with Ureteral Preservation.

J Minim Invasive Gynecol 2022 May 23. Epub 2022 May 23.

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas. Electronic address:

Study Objective: To demonstrate tips and tricks for the successful execution of robotic-assisted resection of a large bladder trigone endometriosis nodule while preserving the ureters.

Design: Stepwise demonstration with narrated video footage.

Setting: An academic tertiary care hospital. Read More

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Complications of ovarian cancer surgery in Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta: A cross-sectional study.

Ann Med Surg (Lond) 2022 May 4;77:103581. Epub 2022 Apr 4.

Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.

Background: Ovarian cancer remains as one of the deadliest gynecologic problems globally. Often appears in advanced state, its surgery proves to be a challenge for clinicians. This study aim to present complications surrounding ovarian cancer surgery. Read More

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Uretero-vaginal fistulas - clinical presentation, treatment and literature overview.

Ginekol Pol 2022 22;93(6):501-505. Epub 2022 Mar 22.

3rd Department of Gynecology, Medical University of Lublin, Poland.

A uretero-vaginal fistula (UVF) describes an abnormal connection between the ureter and vagina causing urinary incontinence, frequent infection, and discomfort. Although UVF might be diagnosed after vaginal delivery, infertility treatment or pelvic radiation therapy, gynecological operations, especially total abdominal hysterectomy, remain the leading cause of ureteral injury and formation of UVF. Traditional ureteroneocystostomy was usually the treatment of choice in patients with UVF. Read More

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Robotic-assisted Laparoscopic Ureterolysis for Deep Infiltrating Endometriosis using Indocyanine Green Under Near-Infrared Fluorescence.

J Minim Invasive Gynecol 2022 05 10;29(5):586-587. Epub 2022 Feb 10.

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas (all authors).. Electronic address:

Study Objective: To demonstrate safe identification of ureters in patients with deep infiltrating endometriosis or severe adhesive disease using indocyanine green (ICG) under near-infrared fluorescence (NIRF) on the robotic platform.

Design: Stepwise demonstration using narrated video footage.

Setting: An academic tertiary care hospital. Read More

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Comment on renal autotransplantation: A final option to preserve the kidney after an iatrogenic ureteral injury.

Arch Ital Urol Androl 2021 Dec 22;93(4):497-498. Epub 2021 Dec 22.

Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens.

To the Editor, Autologous Renal Transplantation (ART) since firstly described in 1963 by Hardy, has been used in various cases. There are various reasons for the transplantation such as iatrogenic ureteral damage, chronic kidney pain, unresectable renal tumors or renovascular diseases. Indications concerning the suitable patients for this kind of procedure are gradually increasing. Read More

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December 2021

Ureteric injuries during hysterectomy-A Norwegian retrospective study of occurrence and claims for compensation over an 11-year period.

Acta Obstet Gynecol Scand 2022 Jan 12;101(1):68-76. Epub 2021 Nov 12.

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

Introduction: Ureteric injury is a rare but serious, iatrogenic complication of hysterectomy. The risk depends on indication for surgery, predisposing risk factors, and peroperative conditions. Our aims were to evaluate and learn from compensation claims to The Norwegian System of Patient Injury Compensation (NPE) for ureteric injury occurring during hysterectomies to predict risk factors, time of identification, symptoms, and consequences, and to relate these cases to injuries registered in The Norwegian Patient Registry. Read More

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January 2022

Real-time intraoperative ureter visualization with a novel Near-Infrared Ray Catheter during laparoscopic hysterectomy for gynecological cancer.

J Gynecol Oncol 2021 11;32(6):e93

Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan.

Ureteral injuries are well-known complications of gynecologic surgery, with a higher prevalence in laparoscopic surgery than in laparotomy [1]. The use of near-infrared fluorescent imaging navigation is currently being considered a novel method to identify the ureters intraoperatively and prevent ureteral injuries [2]. The Near-Infrared Ray Catheter (NIRC) fluorescent ureteral catheter is a newly developed device, containing a fluorescent resin that can be recognized by near-infrared irradiation. Read More

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November 2021

Trends in ureteral surgery on an academic gynecologic oncology service.

Gynecol Oncol 2021 12 19;163(3):552-556. Epub 2021 Oct 19.

H. Lee Moffitt Cancer Center, Department of Gynecologic Oncology, Department of Oncologic Sciences, University of South Florida, Tampa, FL, United States of America.

Objective: To describe the incidence, complications, and trends associated with ureteral surgeries on a gynecologic oncology service in the context of a fellowship training program over a 24-year period.

Methods: We conducted a retrospective cohort analysis of ureteral surgeries by gynecologic oncologists at either Moffitt Cancer Center or Tampa General Hospital from 1997 to 2020. Patient characteristics, predisposing factors, location and type of injury, repair method, postoperative management and complications were abstracted from the medical record. Read More

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December 2021

The urological complications of vaginal birth after cesarean (VBAC) - a literature review.

J Med Life 2021 Jul-Aug;14(4):443-447

Department of Urology, Prof. Dr. Theodor Burghele Clinical Hospital, Bucharest, Romania.

The appearance of urological complications is a major problem in obstetrics and gynecologic surgery; the bladder is the most common damaged organ. Due to a continuous increase in the rate of cesareans, the incidence of urologic complications will be potentially higher. We reviewed the most important risk factors for urinary tract injury and analyzed the strategies necessary to avoid these situations during vaginal birth after cesarean (VBAC). Read More

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October 2021

Ureteric Injuries after Hysterectomy in a Tertiary Care Center of Nepal: A Descriptive Cross-sectional Study.

JNMA J Nepal Med Assoc 2021 Jul 30;59(239):622-625. Epub 2021 Jul 30.

Department of Radiology, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

Introduction: Pelvic surgery is the most common cause of iatrogenic ureteral injury. The incidence of ureteric injuries varies between skilled and inexperienced surgeons. The study aims to determine the prevalence of ureteric injuries sustained during hysterectomy in a tertiary care center of Nepal. Read More

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Systematic review and meta-analysis of all randomized controlled trials comparing gynecologic laparoscopic procedures with and without robotic assistance.

Eur J Obstet Gynecol Reprod Biol 2021 Oct 11;265:30-38. Epub 2021 Aug 11.

Marchand Institute for Minimally Invasive Surgery, Mesa, AZ, USA.

Objective: Following the publication of several high quality randomized controlled trials regarding the comparison of similar laparoscopic gynecologic procedures being performed with or without robotic assistance, we aimed to perform a systematic review to identify any differences in patient safety and expected incidence of complications in these procedures.

Data Sources: Articles on ClinicalTrials.Gov, Embase, MEDLINE, PubMed, Scopus, and Web of Science databases were retrieved and screened for eligibility up to April 1st 2021. Read More

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October 2021

Urologic morbidity associated with placenta accreta spectrum surgeries: single-center experience with a multidisciplinary team.

Am J Obstet Gynecol 2022 02 13;226(2):245.e1-245.e5. Epub 2021 Aug 13.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX.

Background: Hysterectomy for placenta accreta spectrum may be associated with urologic morbidity, including intentional or unintentional cystostomy, ureteral injury, and bladder fistula. Although previous retrospective studies have shown an association between placenta accreta spectrum and urologic morbidities, there is still a paucity of literature addressing these urologic complications.

Objective: We sought to report a systematic description of such morbidity and associated factors. Read More

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February 2022

A case of neovagina surgical creation using the uterine cervix remnant in a patient with Mayer-Rokitansky-Küster-Hauser syndrome.

Fertil Steril 2021 11 28;116(5):1420-1422. Epub 2021 Jul 28.

Limited Liability Company "Clinika Doktora Medvedeva", Dnipro, Ukraine.

Objective: To study the efficacy of a novel approach to vaginoplasty in a patient with vaginal aplasia and a preserved cervix.

Design: We present the case of a 28-year-old patient who was referred with a history of absent menstruation and vaginal intercourse was absent as well as abnormal development of the internal genitals. The patient underwent a laparoscopic cystectomy in 2012 because of an ovarian cyst and later that year underwent laparotomic supracervical hysterectomy with bilateral salpingectomy because of severe pain caused by a hematometra in their uterine remnant. Read More

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November 2021

Neoadjuvant chemotherapy combined with radical surgery for stage IB2/IIA2 cervical squamous cell carcinoma: a prospective, randomized controlled study of 35 patients.

World J Surg Oncol 2021 Jul 12;19(1):209. Epub 2021 Jul 12.

Department of Chemotherapy Center, Ganzhou Cancer Hospital, No.19, Hua Yuan Qian Road, Ganzhou, 341000, Jiangxi Province, China.

Objective: This study aimed to evaluate the clinical outcomes for patients with stage IB2/IIA2 cervical squamous cell carcinoma treated with neoadjuvant chemotherapy combined with radical surgery.

Methods: A total of 68 patients with cervical squamous cell carcinoma were randomly divided into the experimental group (n = 35) and the control group (n = 33). The patients in the experimental group received paclitaxel plus cisplatin neoadjuvant chemotherapy for two cycles, then underwent radical hysterectomy and bilateral adnexectomy at 2 weeks post-chemotherapy. Read More

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Transvaginal Natural Orifice Transluminal Endoscopic Uterosacral Ligament Hysteropexy: An Innovative Approach for Treatment of Uterine Prolapse.

J Minim Invasive Gynecol 2021 11 23;28(11):1818-1819. Epub 2021 Jun 23.

Department of Obstetrics and Gynecology, Rambam Health Care Campus and Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel (all authors). Electronic address:

Study Objective: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) was previously described as a feasible approach to perform several procedures including hysterectomy followed by uterosacral ligament suspension [1,2]. Approaching the cul-de-sac with vNOTES while the uterus is intact allowing access to the uterosacral ligaments. This enables attainment of apical support by placing sutures on the ligaments, shortening them, and reinforcing their attachment to the cervix. Read More

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November 2021

Iatrogenic Ureteral Injuries Associated with Gynecological and Surgical Procedures: Our Experience About 18 Cases and Literature Review.

Res Rep Urol 2021 25;13:289-293. Epub 2021 May 25.

Division of Urology, Souro Sanou Teaching Hospital, Bobo-Dioulasso, Burkina Faso.

Aim: To describe the epidemiological aspects, etiology and outcome of iatrogenic ureteral injury repair at the urology division of Souro Teaching Hospital of Bobo Dioulasso (Burkina-Faso).

Patients And Methods: This was a retrospective descriptive study of consecutive patients with iatrogenic ureteric injuries who were referred and managed in the urology division of Souro Sanou Teaching Hospital (Bobo-Dioulasso) from January 2012 to December 2017. Variables studied were age, the time at the diagnosis, the causative event, the method of repair, and the outcome of the management. Read More

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A novel near-infrared ray catheter fluorescent ureteral catheter for preventing ureteral injury in gynecologic laparoscopic surgery.

Arch Gynecol Obstet 2021 08;304(2):283-284

Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, 4-2-22 Nishiki-cho, Tachikaw-shi, Tokyo, 1908531, Japan.

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[Analysis of perioperative complications and influencing factors of complications in 1 000 cases of robotic gynecological surgery].

Zhonghua Fu Chan Ke Za Zhi 2021 May;56(5):341-348

Department of Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To investigate the occurrence and influencing factors of perioperative complications after robotic gynecologic surgery. The clinical data and occurrence of perioperative complications in 1 000 cases robotic surgery completed in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. (1) Clinical data: the average age of the patients was (50. Read More

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[Effectiveness of abdominal minimal incision sacrocolpopexy for advanced pelvic organ prolapse].

Zhonghua Fu Chan Ke Za Zhi 2021 May;56(5):328-334

UT Southwestern Medical Center, Dallas, USA.

To evaluate the indications, surgical skills and clinic outcomes of abdominal minimal incision sacrocolpopexy (AMISC) for treatment of advanced pelvic organ prolapse (POP). The retrospective study analyzed 30 women with advanced POP who underwent AMISC between June 2016 and October 2019, including 9 cases of recurrent prolapse and 10 cases of vault prolapse. AMISC was especially applicable to: (1) patients with several medical complications who was unable to tolerate general anesthesia or laparoscopic surgery, but able to tolerate combined spinal-epidural anesthesia and open surgery; (2) other abdominal procedures were indicated to perform with AMISC simultaneously, such as myomectomy, subtotal hysterectomy etc, the specimens were easy to get out of the abdominal cavity and morcellation was avoided; (3) surgeons preferring open surgery to laparoscopic surgery or skilled in open surgery; (4) patients with prior pelvic operations, presenting severe abdominal and pelvic adhesions. Read More

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Evaluating the efficacy and safety of ureteral stent placement as a preoperative procedure for gynecological cancer surgeries: A retrospective cohort study.

J Obstet Gynaecol Res 2021 Aug 11;47(8):2752-2757. Epub 2021 May 11.

Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Tottori Prefecture, Japan.

Aim: To evaluate the efficacy and safety of ureteral stent placement (USP) as a preoperative procedure for gynecological cancer surgeries.

Methods: This was a single-institution retrospective cohort study of 259 patients with gynecological cancer who underwent laparotomy. In 126 patients (USP+ group), a ureteral stent was inserted into the bilateral ureters after the induction of general anesthesia. Read More

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In Situ and Intraoperative Detection of the Ureter Injury Using a Highly Sensitive Piezoresistive Sensor with a Tunable Porous Structure.

ACS Appl Mater Interfaces 2021 May 30;13(18):21669-21679. Epub 2021 Apr 30.

Schlegel Research Institute for Aging, University of Waterloo, Waterloo N2L 3G1, Canada.

Iatrogenic ureteral injury, as a commonly encountered problem in gynecologic, colorectal, and pelvic surgeries, is known to be difficult to detect in situ and in real-time. Consequently, this injury may be left untreated, thereby leading to serious complications such as infections, renal failure, or even death. Here, high-performance tubular porous pressure sensors were proposed to identify the ureter in situ intraoperatively. Read More

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Use of a Novel Fluorescent Catheter to Locate the Ureters during Total Laparoscopic Hysterectomy.

J Minim Invasive Gynecol 2021 07 19;28(7):1420-1424. Epub 2021 Apr 19.

Department of Obstetrics and Gynecology (Drs. Fujita, Nakagawa, Katano, Nakano, Kitayama, and Tanaka), Medical Park Shonan, Kanagawa, Japan; Department of Obstetrics and Gynecology (Dr. Kikuchi), Medical Park Yokohama, Kanagawa, Japan.

Ureteral injury can occur during total laparoscopic hysterectomy. This report documents our experience in using the near-infrared ray catheter (NIRC), a newly developed fluorescent ureteral catheter made of material that contains a fluorescent dye to improve visualization of the ureters. We have used the device in 3 patients between 40 and 50 years of age (mean, 46. Read More

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Safety of early discharge in patients undergoing laparoscopic hysterectomy in a high complexity center in Bogotá, Colombia, 2013 - 2019. Historical cohort

Rev Colomb Obstet Ginecol 2021 Mar 30;72(1):24-32. Epub 2021 Mar 30.

Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Bogotá (Colombia)..

Objective: To describe the safety of early discharge in the first 12 hours of the postoperative period in women undergoing laparoscopic hysterectomy for benign uterine disease. Materials and methods: Descriptive historical cohort study. The study included all women undergoing laparoscopic hysterectomy due to benign disease and discharged after 12 hours of the procedure in a high complexity hospital in Bogota Colombia, between January 2013 and April 2019. Read More

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Clinical use of indocyanine green during nerve-sparing surgery for deep endometriosis.

Fertil Steril 2021 07 8;116(1):269-271. Epub 2021 Apr 8.

Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.

Objective: To describe the anatomic and technical highlights of a novel nerve-sparing surgery in deep endometriosis (DE) using near-infrared (NIR) fluorescence technology and indocyanine green (ICG).

Design: Stepwise demonstration of this method with narrated video footage.

Setting: An urban general hospital. Read More

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Should we perform cervix removal during hysterectomy for benign uterine disease? Clinical practice guidelines from the French College of Gynecologists and Obstetricians (CNGOF).

J Gynecol Obstet Hum Reprod 2021 Oct 29;50(8):102134. Epub 2021 Mar 29.

APHP, GHU South, Antoione Béclere Hospital, Department of Obstetrics and Gynaecology, 157 rue de la porte de Trivaux, F-92140, Clamart, France; University Paris-Saclay, Faculté de Médecine, F94270, Le Kremlin-Bicêtre, France. Electronic address:

Objective: To provide guidelines from the French College of Obstetricians and Gynecologists (CNGOF), based on the best evidence available, concerning subtotal or total hysterectomy, for benign disease.

Methods: The CNGOF has decided to adopt the AGREE II and GRADE systems for grading scientific evidence. Each recommendation for practice was allocated a grade, which depends on the quality of evidence (QE) (clinical practice guidelines). Read More

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October 2021

A Multi-Institutional Experience with Robotic Vesicovaginal and Ureterovaginal Fistula Repair After Iatrogenic Injury.

J Endourol 2021 11 13;35(11):1659-1664. Epub 2021 Aug 13.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.

To describe our multi-institutional experience with robotic repair of iatrogenic urogynecologic fistulae (UGF), including vesicovaginal fistulae (VVF) and ureterovaginal fistulae (UVF). We performed a retrospective review identifying patients who underwent robotic repair of VVF and UVF between January 2010 and May 2019. All patients failed conservative management with Foley catheter or upper tract drainage (ureteral stent and/or nephrostomy tube), respectively. Read More

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November 2021

Comparison of oncological outcomes and major complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy for stage IB1 cervical cancer with a tumour size less than 2 cm.

Eur J Surg Oncol 2021 08 22;47(8):2125-2133. Epub 2021 Mar 22.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. Electronic address:

Objective: To compare the oncological outcomes and major complications of laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for stage IB1 cervical cancer (FIGO 2009) with a tumour size less than 2 cm.

Methods: We retrospectively compared the oncological outcomes and major complications of 1207 stage IB1 cervical cancer patients with a tumour size less than 2 cm who received LRH (n = 546) or ARH (n = 661) in 37 hospitals.

Results: (1) There was no significant difference in 3-year overall survival (OS; 97. Read More

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Guideline No. 413: Surgical Management of Apical Pelvic Organ Prolapse in Women.

J Obstet Gynaecol Can 2021 04 3;43(4):511-523.e1. Epub 2021 Feb 3.

Montréal, QC. Electronic address:

Objective: To compare success and complication rates of apical suspension procedures for the surgical management of symptomatic uterine or vaginal vault prolapse.

Target Population: Women with symptomatic uterine or vaginal vault prolapse seeking surgical correction.

Options: Interventions included abdominal apical reconstructive repairs (sacrocolpopexy, sacrohysteropexy, or uterosacral hysteropexy) via open, laparoscopic, or robotic approaches; vaginal apical reconstructive repairs (vault suspensions or hysteropexy, sacrospinous, uterosacral, iliococcygeus, McCall's, or Manchester types); and vaginal obliterative procedures (with or without uterus in situ). Read More

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Reflex anuria causing acute kidney injury following myomectomy: A case report.

J Obstet Gynaecol Res 2021 Mar 31;47(3):1195-1198. Epub 2021 Jan 31.

Department of Urology, Pondicherry Institute of Medical Sciences, Puducherry, India.

Reflex anuria is a rare cause of acute renal failure, which may occur following ureteric manipulation or painful stimuli to adjacent organs during pelvic surgery. This condition, relatively unfamiliar to the general gynecologist, should be considered even when no obvious cause of anatomical obstruction is found. We present a case of reflex anuria in a 28-year-old woman for two large intramural fibroids. Read More

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