Urinary tract injuries during advanced gynecologic laparoscopy

Urinary tract injuries are important complications of laparoscopic surgery. The intraoperative diagnosis may be delayed, resulting in severe clinical complications, such as fistulas, in the immediate and late postoperative pe riods. A re view of 776 endoscopic procedures revealed 6 urinary tra ct inj uries a nd postoperative complications during laparoscopy. We believe that surgical experience, intraoperative diagnosis, immediate repair of the lesi on, and close follow-up are the main factors contributing to decreased morb idity associated with these injuries.