Bilateral Ureteral Reimplantation and Psoas Hitch for Iatrogenic Injury of Ureters after Abdominal Hysterectomy in an Old Woman with Conventional Radiotherapy: A Case Report

Iatrogenic ureteral trauma can result from various mechanisms such as ligation with a suture, crushing with a clamp, partial or complete transection, thermal injury and ischaemia from devascularisation [1]. Gynaecological operations are the commonest cause of iatrogenic trauma to the ureters and usually involve damage to the lower ureter [2]. Not only bilateral ureteral injury, but also bilateral simultaneous ureteral reimplantation after transabdominal hysterectomy in a patient already received radio/chemotherapy is extremely rare. In this case report, the management of bilateral ureteral injury for radical abdominal hysterectomy is discussed.