Endoscopic management of ureteral injuries arising from gynecologic procedures

Introduction: Ureteral injuries during gynecologic surgery are uncommon (0.1%-2.5%) but may result in significant morbidity, including strictures, hydronephrosis and the need for additional interventions. This study evaluates the effectiveness of retrograde endoscopic management in treating iatrogenic ureteral injuries. Materials and Methods: A retrospective review was conducted on women diagnosed with ureteral injury post-gynecologic surgery between 2010 and 2024 at a single institution. Patients were categorized into two groups: those treated with retrograde endoscopic interventions and those managed with non-endoscopic approaches (percutaneous nephrostomy and/or surgical reconstruction). The endoscopic group was further divided into early (