Ureteral injury is an uncommon complication of cesarean section. As wi
th all iatrogenic ureteral injuries, if the problem is not recognized
intraoperatively, the manifestations may be protean. The management of
ureteral injury that is first recognized in the early postoperative p
eriod must be individualized. We present a case of ureteral injury dur
ing a cesarean section in which endoscopic techniques were employed su
ccessfully to establish kidney drainage and allow ureteral healing, ob
viating open surgical repair.